Medicare CAHPS & STAR Quality Program Lead

Elevance Health; Town of Florida (NY); Hybrid; USD 110,000 - 160,000; Full time

Job summary

Elevance Health in Mason, OH is seeking a Medicare CAHPS & STAR Quality Clinical Program Manager to lead clinical program development across Medicare Star initiatives and CAHPS. The role combines strategic oversight with hands-on program execution in a hybrid workplace.

You will manage vendor relationships, develop annual plans, ensure regulatory compliance, and drive performance metrics to improve member outcomes and cost effectiveness.

Qualifications

• BA/BS and at least 5 years of health-care data analysis and clinical program development experience.
• Equivalent mix of education and experience acceptable.
• Experience with Medicare Star, CAHPS, or Provider quality programs is a plus.

Responsibilities

• Provide strategic leadership for Medicare clinical and quality programs across Stars and CAHPS.
• Lead ideation through implementation of Medicare quality and patient experience programs.
• Oversee vendor contracts, negotiations, and SLAs with ongoing performance monitoring.
• Develop annual plans detailing strategies, programs and tools to implement.
• Track program performance and adjust initiatives to improve outcomes.

Skills

Strategic leadership

Program management

Vendor management

Workflow design

Healthcare analytics

Regulatory compliance

Presentation skills

ROI analysis

Education

BA/BS in business, public health, nursing, epidemiology/biostatistics, or related field

Job description

Elevance Health in Mason, OH is seeking a Medicare CAHPS & STAR Quality Clinical Program Manager to lead clinical program development across Medicare Star initiatives and CAHPS. The role combines strategic oversight with hands-on program execution in a hybrid workplace.

You will manage vendor relationships, develop annual plans, ensure regulatory compliance, and drive performance metrics to improve member outcomes and cost effectiveness.