Medicare Advantage Quality Consultant
Company : Highmark Inc. Job Description : JOB SUMMARY This job is directly responsible for the value creation, impact and cost control and fiscal/ROI targets as set by the Organization, including revenue stream outcomes, and engagement of primary care providers (PCP) enrolled in government value-based reimbursement programs and continuous improvement models. This job is a highly skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams...
- Data Analysis
- Lean
- Six Sigma