Register
Recruit Create CV

Medicare Stars Business Intelligence Analyst Jobs

Stars Analyst Jobs
By Cotiviti At , Remote $94,500 - $115,500 a year
Strong communication, time management, and organization skills
Perform data and program management, included, but not limited to end-to-end data assessment to ensure accuracy in Stars measures
Knowledge of regulatory quality-based reporting and audit requirements
Produces and manages documents related to client projects, calls, meetings, product specifications, special initiatives and follow up.
Fully accountable for ensuring that open issues are managed in a timely manner and that no key milestones are missed.
Five (5) or more years of healthcare experience, with at least 2 years working directly in Stars, CMS, NCQA, HEDIS
Pharmacy Technician - Medicare Stars Program – Remote
By The Cigna Group At , Nashville, 37214, Tn

Primary Responsibilities include but are not limited to:

Medicare Pharmacy Analyst Jobs
By Intuitive Technology Group At United States
Knowledge of Medicare Advantage and Prescription Drug Program with a working understanding of Pharmacy Benefit Managers (PBMs).
Experience in Project Management and the ability to prepare project plans and participate or lead special projects.
Oversee Pharmacy Benefits vendors and review claims for accuracy.
Submit changes and benefit builds to the PBM and ensure quality assurance.
Experience as a project lead on one large-scale project with a successful completion (e.g., implementation, issue tracking, and resolution).
Prior quality assurance/testing experience related to claim adjudication & plan set-up preferred. Previous claims coding experience is also desirable.
Medicare Stars Program Coordinator
By Health Partners Plans At Philadelphia, PA, United States
Exceptional presentation, oral and written communication, interpersonal, problem solving, multitasking and time management skills required.
Knowledge and experience in Medicare and/or Quality Improvement is strongly preferred.
Qualifications and Skills, We Value
Benefits & Wellness Program including generous Time Off
Manage & track all measure rates for the Medicare Stars Program
Lead cross-functional efforts to develop, deploy, and manage reporting dashboards
Stars Improvement Professional Jobs
By Humana At Tampa, FL, United States
Provides resources and educational opportunities to providers and staff.
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint.
Ability to manage multiple competing priorities and meet deadlines.
Workstyle: This is a Remote position that requires you to live in the state of Florida.
Reviews provider and member-specific UM and QI metrics.
Coaches assigned providers on gaps in care opportunities through virtual, telephone and/or email.
Stars Advocate Jobs
By AvMed At Doral, FL, United States
Performs additional duties and responsibilities as assigned by management.
3-5 years of experience in Customer service experience in managed care, pharmacy or medical environment
Maintains up to date knowledge of Star measures as assigned.
Comprehensive Benefits: Medical Plans, Health Savings Account, Dental, Vision, and more…
Experience working to improve HEDIS/STARS measures preferred
Bilingual preferred; excellent member relation skills with strong interpersonal skills
Stars Program Manager Jobs
By Santa Clara Family Health Plan At San Jose, CA, United States
Bachelor’s Degree in Management, Business, Healthcare, or a related field, or equivalent experience. (R)
Provide comprehensive analysis of measures, barriers, and opportunities, and present results of improvement efforts and ongoing performance measures to management.
Manage current quality initiatives, collaborate and educate SCFHP staff, provider network and community partners on how to improve SCFHP Star Program.
Knowledge of Medicare principles and practices with emphasis in quality improvement. (R)
Medicare Advantage plan or ACOs experience. (D)
Ability to consistently meet accuracy and timeline requirements to maintain regulatory compliance. (R)
All Stars Jobs
By The Strategies At Muncie, IN, United States

Our long term care team is looking for all stars to join us. From our profession or looking for a profession

Intelligence Analyst - Medicare
By Peraton At , $66,000 - $106,000 a year
Bachelors degree and 8-10 years experience or Masters degree and 6-8 years experience or PhD and 3-5 years experience
Experience in relational data base design, extract, and reporting
Strong computer skills including Microsoft Excel, SQL, Outlook, and PowerPoint.
Strong proven analytical ability and basic knowledge of modelling, statistics, and sampling techniques
Strong communication and organization skills
5+ years of law enforcement experience
Intelligence Analyst - Medicare
By Peraton At United States
Bachelors degree and 8-10 years experience or Masters degree and 6-8 years experience or PhD and 3-5 years experience
Experience in relational data base design, extract, and reporting
Strong computer skills including Microsoft Excel, SQL, Outlook, and PowerPoint.
Strong proven analytical ability and basic knowledge of modelling, statistics, and sampling techniques
Strong communication and organization skills
Preferred candidates will have the following areas of concentration for work experience:
Stars Improvement Nurse Jobs
By Humana At , Tampa, 33610, Fl
5 years or more telephonic member outreach experience
Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
Health benefits effective day 1
Associate Degree in Nursing or higher
Satellite, cellular and microwave connection can be used only if approved by leadership
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Business Analyst Ii- Medicare Compliance (Remote)
By UPMC At , Pittsburgh, 15219, Pa $25.52 - $44.13 an hour
Master's degree preferred. Extensive related experience will be considered.
Minimum of two years of related work experience in financial and/or medical analysis required.
Knowledgeable with SharePoint, Access and PowerBi
Experience in health care insurance or health care industry preferred.
Preferred knowledge: SharePoint, Access and PowerBi
Identify trends in expenses, utilization, medical quality, and other areas.
Medicare Stars Sr Data Analyst - Remote
By UnitedHealth Group At , Eden Prairie, 55344, Mn $85,000 - $167,300 a year
Data management and privacy: ensure compliance with regulatory and business requirements
Evaluate data and reports for accuracy and validity; ensure that reporting meets customer requirements / regulations
This role is self-directed: proactively identifies and seeks out resources and information; adapts to changing environment & requirements; accountable for deliverables
3+ years SQL development experience (ex: SQL procedures, multi-table joins, grouping)
3+ years SAS development experience (ex: managing multiple library connections, data manipulation in arrays, PROC SQL)
Experience in business software: Excel, Visio, etc.
Data Analyst, Stars Jobs
By Honest Medical Group At United States
Collaborate with internal cross functional teams to assist in the development and review of business and technical requirements.
Evaluate data and reports for accuracy and validity; ensure that reporting meets customer requirements / regulations.
3+ years of experience in Health Care Analytics, with process improvement, workflow, benchmarking and/or evaluation of business processes
1+ years of experience working in HEDIS, Pharmacy or Medicare Star Ratings and their specifications.
Engage in design, development, production, maintenance and archiving of reporting and data needs to support the Stars and Quality Programs.
Understand HEDIS, PQA and NCQA technical specifications to apply to each measure's criteria.

Are you looking for an exciting opportunity to use your business intelligence skills to help improve the quality of healthcare for Medicare beneficiaries? We are looking for a Medicare Stars Business Intelligence Analyst to join our team and help us make a difference! As a Medicare Stars Business Intelligence Analyst, you will be responsible for analyzing data to identify trends and develop insights that will help us improve the quality of care for Medicare beneficiaries. If you are passionate about making a difference in healthcare and have the skills to analyze data and develop actionable insights, this is the job for you!

What is Medicare Stars Business Intelligence Analyst Skill Requirements?

• Strong analytical and problem-solving skills
• Knowledge of data analysis techniques and tools
• Ability to interpret data and draw meaningful insights
• Familiarity with data visualization tools
• Excellent communication and presentation skills
• Ability to work independently and collaboratively
• Proficiency in SQL and other programming languages

What is Medicare Stars Business Intelligence Analyst Qualifications?

• Bachelor’s degree in Computer Science, Information Systems, or related field
• 5+ years of experience in data analysis and business intelligence
• Experience with Medicare Stars or similar healthcare data systems
• Knowledge of healthcare data standards and regulations

What is Medicare Stars Business Intelligence Analyst Knowledge?

• Knowledge of healthcare data standards and regulations
• Understanding of data warehousing and ETL processes
• Familiarity with data visualization tools
• Understanding of data analysis techniques and tools

What is Medicare Stars Business Intelligence Analyst Experience?

• 5+ years of experience in data analysis and business intelligence
• Experience with Medicare Stars or similar healthcare data systems

What is Medicare Stars Business Intelligence Analyst Responsibilities?

• Analyze and interpret healthcare data to identify trends and patterns
• Develop and maintain data models to support business intelligence initiatives
• Design and implement data visualizations to present data insights
• Develop and maintain data warehouses and ETL processes
• Collaborate with stakeholders to