CMS Star Ratings Quality Improvement Manager

CommunityCare, Inc.; Tulsa (OK); Hybrid; USD 90,000 - 125,000; Full time

Job summary

CommunityCare, Inc. in Tulsa assets leadership for CMS Star Ratings, designing and executing strategies to achieve 4+ Star performance through cross-functional collaboration and data-driven decisions.

You will monitor initiatives, engage stakeholders, and translate regulatory requirements into actionable plans that enhance member outcomes and provider engagement while maintaining timely delivery.

Qualifications

• Bachelor’s degree required in a healthcare or related field.
• Master’s degree preferred in a healthcare field (MPH/MSN/MHA).
• 3+ years Medicare Stars program and project management experience.
• Five+ years’ experience managing teams in a matrixed environment.
• Strong written, verbal, and presentation skills.
• Successful completion of Health Care Sanctions background check.

Responsibilities

• Lead CMS Star Ratings initiatives and drive performance improvements.
• Monitor effectiveness of Stars initiatives and report on progress.
• Collaborate with internal and external stakeholders to improve member/provider engagement.
• Analyze data from multiple sources to identify trends and remediate risks.
• Align strategy with CMS criteria and corporate objectives to achieve 4+ Star ratings.
• Develop materials for leadership reviews and provide strategic recommendations.
• Oversee vendor work when applicable and manage tight deadlines.

Skills

Analytical skills

Communication skills

Interpersonal skills

Presentation skills

Regulatory knowledge

Education

Bachelor’s degree in Nursing, Business, Finance, healthcare or related field

Master’s degree preferred (MPH, MSN, MHA)

Tools

Microsoft Office

Job description

CommunityCare, Inc. in Tulsa assets leadership for CMS Star Ratings, designing and executing strategies to achieve 4+ Star performance through cross-functional collaboration and data-driven decisions.

You will monitor initiatives, engage stakeholders, and translate regulatory requirements into actionable plans that enhance member outcomes and provider engagement while maintaining timely delivery.