Medicare CAHPS & STAR Quality Programs Lead

Elevance Health; Mason (OH); Hybrid; USD 110,000 - 160,000; Full time

Job summary

Elevance Health, a Fortune 25 company, seeks a Medicare CAHPS & STAR Quality Clinical Program Manager in Mason, OH. The role is hybrid, requiring in-office presence 1-2 days weekly to foster collaboration, with flexibility for balancing productivity and work-life integration.

The candidate leads Medicare quality and patient experience programs across lines of business, guiding development from ideation to implementation.

Qualifications

• BA/BS in business, public health, nursing, epidemiology/biostatistics or related field with 5+ years health data analysis and clinical program development.

Responsibilities

• Provide strategic leadership for Medicare clinical and quality programs, overseeing CAHPS and Star measures.
• Ideate through implementation of Medicare quality and patient experience programs.
• Oversee vendor contracts, negotiations and SLAs; monitor vendor performance.
• Create workflows, prioritize work, and manage multiple projects to deadlines.
• Develop clinical programs by evaluating industry best practices and research.

Skills

AI prompts

Member experience

CAHPS/STAR programs

Program improvement

Vendor management

Medicare Part D

Population health

CMS regulations

Analytical skills

Education

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

Job description

Elevance Health, a Fortune 25 company, seeks a Medicare CAHPS & STAR Quality Clinical Program Manager in Mason, OH. The role is hybrid, requiring in-office presence 1-2 days weekly to foster collaboration, with flexibility for balancing productivity and work-life integration.

The candidate leads Medicare quality and patient experience programs across lines of business, guiding development from ideation to implementation.