Director, Medicare (Stars)

Highmark Health

Date: 06/29/2018

Location: Pittsburgh

This job focuses on ensuring enterprise-wide compliance with clinical and service quality requirements for mandatory quality accreditation, federal, and Center for Medicare and Medicaid Services (CMS) regulations. Leads professional consultant staff in the development, implementation and on-going monitoring and follow through for the Health Planís clinical and service quality programs and initiatives to ensure the Organization is compliant with all applicable external accrediting and regulatory requirements (NCQA, CMS, DOH, URAC, etc.), as applicable in all service regions.