CMS Stars Quality Improvement Lead

CommunityCare HMO Inc.; Tulsa (OK); On-site; USD 90,000 - 140,000; Full time

Job summary

CommunityCare HMO Inc. seeks a Stars Manager to lead strategies for CMS Star Ratings with cross‑functional teams, using data analytics and regulatory insight to improve quality and member outcomes.

This role drives alignment with CMS criteria, manages data sources, and guides initiatives toward sustained 4+ Star performance in a matrixed organization. Strong leadership and communication are required to succeed in this role.

Qualifications

• Excellent written, verbal, and presentation skills.
• Strong analytical abilities for data-driven decisions.
• Interpersonal skills to build cross‑functional relationships and advance STARS goals.
• Proficient in Microsoft Office applications.
• Successful completion of Health Care Sanctions background check.

Responsibilities

• Serve as SME on CMS Star Ratings and educate teams.
• Monitor, evaluate, and report on Stars initiatives and identify improvements.
• Collaborate with stakeholders to improve member and provider engagement.
• Analyze data from multiple sources to identify trends and risks.
• Lead strategy to improve member experience and HEDIS engagement toward 4+ Stars.
• Develop dashboards and KPIs with data analysts.
• Prepare leadership materials and strategic recommendations.
• Stay updated on CMS changes and adjust programs.
• Oversee external vendors to deliver high-quality results.
• Manage workload to meet deadlines with clear communication.

Skills

Communication

Analytical thinking

Interpersonal skills

MS Office

Compliance/background check

Education

Bachelor's degree (Nursing/Healthcare/Business)

Master's degree preferred (MPH/MSN/MHA)

Medicare Stars experience

Managed Care experience

Team leadership in matrix org

PM/Process improvement experience

Job description

CommunityCare HMO Inc. seeks a Stars Manager to lead strategies for CMS Star Ratings with cross‑functional teams, using data analytics and regulatory insight to improve quality and member outcomes.

This role drives alignment with CMS criteria, manages data sources, and guides initiatives toward sustained 4+ Star performance in a matrixed organization. Strong leadership and communication are required to succeed in this role.