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CMS 5 Star Program Manager - Remote
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Full-time
Remote
- Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.
- Principle responsibility of the Medicare 5 star Program Manager is to collaborate with Fallon Health’s 5 Star owner to produce dashboards, trend and surveillance reports for senior management and department leaders and teams, tracking individual metric measure and executed intervention performance.
- The Medicare 5 star Program Manager will also be responsible for investigating specific areas of concern with 5 star performance.
- They are consultative to the business and accountable for the quality and effectiveness of the data in the subject area across all related systems (QNXT, data warehouse) and are expected to be subject matter experts for this data.
- Reviews current reports and outputs for accuracy, efficiency and viability
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