Contributes to the development, implementation, and management of the company's Medicare/Medicaid Five-Star Quality Rating System
Works directly with provider groups, Management Services Organizations (MSOs) and organizational leaders to impact Centers for Medicare & Medicaid Services (CMS) Star Rating categories
Focuses on areas of clinical emphasis related to the CMS Stars Program
Relationship building and implementation of best practices to drive results within a provider network and MSO as it relates to clinical HEDIS measures
Experience in preparing and delivering training sessions, educational materials, performance reports, and presentations
Requirements
Licensed Professional Nurse or Registered Nurse
3 or more years of Medicare experience
3 or more years of CMS Stars and HEDIS experience
Strong knowledge of Microsoft Office XP products (Word, Excel, PowerPoint)
Proven analytical skills (i.e., trending and analysis of healthcare data)
Benefits
medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
Functional SCM Application Management Consultant responsible for enhancing and optimizing Supply Chain Management modules. Collaborating with cross - functional teams in a hybrid work environment.
Integration Consultant supporting integrations between MasterControl and SAP in a regulated pharmaceutical environment. Collaborating with IT and stakeholders to ensure compliance with industry regulations.
Senior Asset Management Consultant at Arcadis working with the Resilience Water Team on asset management plans and projects for the water and wastewater utility industry. Candidates should possess 8 years of consulting experience.
Associate Consultant managing research and client engagements at Euromonitor's Dubai office. Focusing on delivering high - quality consulting solutions and successfully executing custom research projects.
Responsible for TI budget management (CAPEX and OPEX) at Unidas, focusing on financial processes and internal support. Leading executive reports and continuous improvement initiatives.
Crop Consultant with Nutrien Ag Solutions developing prospects and managing sales for agricultural inputs. Delivering customer satisfaction and developing sales strategies for proprietary products.
Banking Consultant at ANZ meeting customers’ banking needs and educating them on financial solutions. Delivering high customer service standards in a collaborative branch environment.
Digital Transformation Consultant in hybrid role driving digital transformation in manufacturing processes. Leading initiatives using AI and automation to enhance efficiency and quality in production.
Digital Transformation Consultant driving digital transformation of global manufacturing processes at Sartorius. Utilizing digitalization and AI to optimize processes and implement initiatives.