- CareFirst (Baltimore, MD)
- …delivering production projects at scale. + Experience with HEDIS , CAHPS, and STARS & Pharmacy Data experience **Knowledge, Skills and Abilities (KSAs)** ... VA area in order to travel into the local offices.** **PURPOSE:** Interprets Stars rating data ; analyzes ** HEDIS , CAHPS and Stars ** results using… more
- CenterWell (San Antonio, TX)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance ... Nurse or similar role in healthcare quality improvement + Strong knowledge of HEDIS / Stars /CMS + Excellent presentation and communication skills, both oral and… more
- Martin's Point Health Care (Portland, ME)
- …Superior written and verbal communication skills + Knowledge of PBM third party billing, pharmacy claims processing, and pharmacy data management + Knowledge ... Place to Work" since 2015. Position Summary The Director Pharmacy & Quality Operations is responsible for the oversight...managerial experience Quality Management experience + Knowledge of Medicare Stars and HEDIS quality programs + Knowledge… more
- Elevance Health (St. Louis, MO)
- …programs. + Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. + Assists members with ... ** Pharmacy Technician II** Shift Schedule: Monday-Friday (shift start...make an impact:** + Verifies member information and inputs data for the pharmacists. + Educates members about prescriptions… more
- Highmark Health (Charleston, WV)
- …medication adherence strategies, Medication Therapy Management, utilization management, immunizations, specialty pharmacy , Medicare Stars , and Medicaid HEDIS ... collaborative works with other functions in the provider area, data analytics, pharmacy team, and key internal/external...facilities that promote generic substitution, medication adherence, success in pharmacy related Stars and HEDIS … more
- CenterWell (Covington, LA)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance ... and incentive programs + Data sharing and connectivity + Documentation and coding +...role in healthcare quality improvement + Strong knowledge of HEDIS / Stars /CMS + Excellent presentation and communication skills,… more
- CenterWell (Dallas, TX)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance ... and incentive programs + Data sharing and connectivity + Documentation and coding +...years of clinical nursing experience + Strong knowledge of HEDIS / Stars /CMS + Excellent presentation and communication skills,… more
- CenterWell (Miami Beach, FL)
- …across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance ... and incentive programs + Data sharing and connectivity + Documentation and coding +...years of clinical nursing experience + Strong knowledge of HEDIS / Stars /CMS + Excellent presentation and communication skills,… more
- Highmark Health (Cheyenne, WY)
- …and reporting/regulatory requirements and CMS Stars rating measures including HEDIS , CAHPS, Pharmacy , HOS, PQA, PQRS. + Supportdevelopment of the ... and outcomes strategic plan development. + 1 year experience with Medicare STARS , Medicaid HEDIS , risk revenue value streams, and population health… more
- Henry Ford Health System (Troy, MI)
- …the strategic direction for regional markets under their supervision, generating data driven recommendations for provider strategic relationships and direction of ... of care, achieving desired quality results using Medicare Star, Medicaid and HEDIS , cost containment and member satisfaction. Through leadership to direct staff, the… more