Medicare CAHPS & STAR Quality Program Lead (Hybrid)

Elevance Health; Atlanta (GA); Hybrid; USD 110,000 - 160,000; Full time

Job summary

Elevance Health seeks a Medicare CAHPS & STAR Quality Clinical Program Manager to lead clinical program development across Medicare lines. You will oversee Stars, CAHPS, and related vendor arrangements, translating clinical insights into scalable programs.

The role requires strategic oversight, cross-functional collaboration, and the ability to balance regulatory compliance with innovative patient experience initiatives.

Qualifications

• BA/BS with 5+ years of healthcare data analysis and clinical program development.
• Experience designing clinical programs for Medicare Star/CAHPS.
• Strong analytical and vendor management capabilities.

Responsibilities

• Provide strategic leadership for Medicare clinical and quality programs (Stars and CAHPS).
• Ideate, develop, and implement clinical quality and patient experience programs.
• Manage vendor contracts, SLAs, and monitor performance.

Skills

AI prompts design

Healthcare analytics

Quality Medicare Star/CAHPS experience

Vendor management

Regulatory awareness CMS rules

Analytical thinking

Education

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

Job description

Elevance Health seeks a Medicare CAHPS & STAR Quality Clinical Program Manager to lead clinical program development across Medicare lines. You will oversee Stars, CAHPS, and related vendor arrangements, translating clinical insights into scalable programs.

The role requires strategic oversight, cross-functional collaboration, and the ability to balance regulatory compliance with innovative patient experience initiatives.