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Medicare STAR Program Coordinator

Company: BlueCross BlueShield of Western New York
Location: Buffalo
Posted on: January 16, 2020

Job Description:

The Medicare Star Program Coordinator serves as a critical resource in supporting, managing and driving strategic projects and initiatives that support the goal of improving quality of care and service to our Medicare Advantage membership, and maintaining a 4.0+ Medicare Star rating for Healthnow's Medicare Advantage contracts. Working closely with the Medicare Star analytical team, this position is responsible for supporting the oversight and monitoring of the Medicare Star ratings program. This position works within the Medicare Star Department team and collaborates with analysts and other internal departments to provide consultative support, insight and guidance on the overall strategic direction and opportunities for the Medicare Start ratings program. Serves as a critical resource and subject matter expert in supporting, monitoring, managing and driving strategic projects and initiatives for the organization's Medicare Star ratings program. Works collaboratively with the clinical analytic team and Star measure coordinators/owners in monitoring Medicare Star performance and determining approach to address identified quality issues. Works to ensure the organization meets the overall Medicare Star rating objective for each Medicare Advantage/Prescription Drug Plan contract. Leads diverse teams in matrix organizations to achieve desired Medicare Star rating outcomes. Builds strong cross-functional relationships to implement Medicare Star strategies; consults with and influences business partners at various levels within and outside the organization. Collaborates with other departments to assure activities and strategies align with Medicare Star ratings. Collaborates with the Pharmacy department to assure pharmacy strategy alignment with Medicare Star Ratings Performs other duties as required. At least 2-3 years of healthcare experience in Healthcare Quality Improvement, Project Management, Program Development, Member Services, Product Development or Marketing preferred. Required Education:Bachelors Degree (Business Admin.,Healthcare Administration,Related area of study)

Keywords: BlueCross BlueShield of Western New York, Buffalo , Medicare STAR Program Coordinator, Other , Buffalo, New York

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