Director, Medicare Stars Strategy & Transformation

Socket.dev; Canton (MA); On-site; USD 146,000 - 219,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Retirement plans

Paid time off

Life and disability insurance

Tuition program

Well-being benefits

Job summary

Point32Health seeks a Director, Medicare Stars Strategy to lead enterprise Stars initiatives and set the strategic direction for Medicare Advantage performance. This role collaborates with senior leaders to drive quality improvements, member experience, and CMS alignment.

You will guide analytics, program management, and communications across a matrixed organization, ensuring timely execution and measurable impact on Star measures and regulatory updates.

Qualifications

• Bachelor's degree is required.
• Master's degree preferred (MPH or MBA).
• 7+ years in Medicare Advantage and/or Stars, or 3+ years in health care consulting with a top tier firm.

Responsibilities

• Lead the Medicare Stars team, including analytics, program management, and outreach; direct the overall Stars improvement strategy and monitor the program budget.
• Collaborate with senior leaders to communicate Stars performance, align priorities, and obtain organization-wide buy-in on new initiatives.
• Oversee organization-wide socialization of Medicare Stars program performance and CMS regulatory updates.
• Represent the Medicare Stars program in provider Joint Operating Committees with the provider team.
• Partner with the VP, Medical Affairs on CMS advocacy and planning, and oversee CMS submissions/interactions.
• Drive cultural transformation and organization-wide awareness of Medicare Stars.
• Lead and influence across a complex matrixed organization without direct authority, building alignment and accountability.
• Expand analytical scope to strengthen predictive insights into Star measure performance and impact of interventions.

Skills

Strategic planning

Executive communication

Cross-functional leadership

Clinical operations

Regulatory compliance

Data-driven decision making

Change management

Education

Bachelor's degree

Master's degree (MPH or MBA)

Job description

Point32Health seeks a Director, Medicare Stars Strategy to lead enterprise Stars initiatives and set the strategic direction for Medicare Advantage performance. This role collaborates with senior leaders to drive quality improvements, member experience, and CMS alignment.

You will guide analytics, program management, and communications across a matrixed organization, ensuring timely execution and measurable impact on Star measures and regulatory updates.