Blue Cross of Idaho is seeking a Medicare Stars Program Manager to lead program governance and drive quality...-from-home). Reports to the Director, Medicare Stars Program. #LI-Hybrid Why Join Us? This is an exciting opportunity to make...
Job Summary - Manager Medicare Stars Quality Improvement Manages the Quality and Senior Quality Improvement... team building. Essential Functions -Manager Medicare Stars Quality Improvement Supports quality improvement activities...
. Additionally, the Manager, Medicare Programs will support activities to monitor ongoing compliance and high-quality operational..., readiness for Annual Enrollment Period and product go-live for each plan year. The Manager, Medicare Programs will focus...
Description The NCQA and CMS Star Rating Program Manager will lead initiatives to drive the Medicare Advantage Plan... systems Knowledge of Medicare Advantage operations, CMS regulations, and health services program requirements Knowledge...
, and team development. Required Qualifications 5-7 years work experience in Medicare/Stars or Healthcare/Pharmacy Quality...'s client-specific government programs action plan to ensure compliance with the Star Ratings program. Assesses the development...
, and team development. Required Qualifications 5-7 years work experience in Medicare/Stars or Healthcare/Pharmacy Quality...'s client-specific government programs action plan to ensure compliance with the Star Ratings program. Assesses the development...
Understanding of CMS 5 Star program and requirements. Medicare Advantage and /or medical practice experience preferred Proficient...JOB SUMMARY: The Stars Medication Adherence Specialist implements, tracks and supports new and existing healthcare...
. And we do it all with heart, each and every day. Position Summary The D-SNP Program Manager will play a critical role... to manage multiple projects and priorities at the time and committed to improving member experience and program performance...
Program Manager or Sr DOE - Provider Incentives Hybrid in Portland, OR or Renton, WA Build a career with purpose... Adjustment and Stars team, our Program Managers partner with cross functional teams to develop, drive, and lead strategic...
Medicare Advantage (MA) and quality metrics such as STARs and HEDIS. Experience with clinical program design for new...Posting Date 10/14/2025 2000 16th St, Denver, Colorado, 80202-5117, United States of America The Senior Manager...
of Grace at Home, the Clinical Manager is responsible for recruitment, training and management of Nurse Practitioners (NPs.... The manager will also develop processes and policies to ensure members, and their families, receive timely and effective...
of Grace at Home, the Clinical Manager is responsible for recruitment, training and management of Nurse Practitioners (NPs.... The manager will also develop processes and policies to ensure members, and their families, receive timely and effective...
PURPOSE OF THIS POSITION The Provider Education and Risk Adjustment Manager serves in a lead role to support provider... selection and accurate capture of clinical complexity to support value-based care program. This position supports the oversight...
Manager, the Assistant Clinical Manager is responsible for training and day to day management of Nurse Practitioners (NPs... patient care. The assistant manager will also manage processes to ensure members, and their families, receive timely...
Improvement Manager is responsible for leading and coordinating quality improvement initiatives across the health plan to ensure... care regulations, NCQA accreditation standards, HEDIS measures, and CMS Stars Proficiency in data analysis and insights...
result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN, you'll... home and hospital visits in North Jersey as required by program guidelines Perform in-person assessments and provide care...
result is a culture of performance that's driving the health care industry forward. As a Telephone Case Manager RN, you'll... home and hospital visits in North Jersey as required by program guidelines Perform in-person assessments and provide care...
Stars program. This right candidate for this role will have a foundational knowledge of the Medicare Stars program... and/or matrixed employees and contractors that serve on the program(s) to deliver solutions for the business. This is a hybrid based...
locations are rated as 4+ stars for quality and satisfaction Directly impact the lives of patients in your local community... to measure productivity and goal achievement and to determine areas needing cost reduction and program improvement Consistently...
, metro region. VHC Health received 5 stars (the highest) in the Centers for Medicare and Medicaid Service’s Quality rating... and prepares charts for clinic sessions. Provides assistance as needed to physicians, Practice Manager, and clinical staff...