Medicare Stars Programs Lead - Senior Project Manager

Inland Empire Health Plans

Rancho Cucamonga (CA)

On-site

USD 120,000 - 175,000

Full time

3 days ago
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Benefits offered by this job

Competitive salary
On-site fitness center
Medical, dental, vision
Life, disability coverage
Career development
Wellness programs
Flexible Spending Account
CalPERS retirement
457(b) match
Pet care insurance

Job summary

IEHP is seeking a Senior Programs Manager II for Medicare Stars to lead cross-functional projects enhancing CMS Stars, HEDIS, and QA initiatives. You will coordinate interdepartmental activities, prepare for audits, and ensure timely, fiscally sustainable implementations.

Strong project management and data analysis are essential for success. The role reports to the Director of Medicare Stars and involves collaboration with multiple departments to drive quality improvement for members and

Qualifications

  • Minimum five (5) years of relevant work experience in healthcare quality and program management.
  • Bachelor’s degree required; Master’s preferred; PMP/PgMP/PMI-PBA preferred.

Responsibilities

  • Coordinate interdepartmental system configuration and process projects focused on CMS Stars operations and quality improvement.
  • Support audits (NCQA, CMS readiness) and regulatory documentation.
  • Provide data-driven insights and reporting to leadership; manage project plans and issues.
  • Collaborate across technology deployments and communications to ensure timely delivery and fiscal sustainability.

Skills

Quality improvement
Project management
Data analysis
CMS regulations
Stakeholder communication
Cross-functional coordination

Education

Bachelor's in public health/health administration
Master's in public health/health administration
PMI-PBA / PMP / PgMP

Tools

Microsoft Project
Excel
Data visualization tools
Access

Job description

IEHP is seeking a Senior Programs Manager II for Medicare Stars to lead cross-functional projects enhancing CMS Stars, HEDIS, and QA initiatives. You will coordinate interdepartmental activities, prepare for audits, and ensure timely, fiscally sustainable implementations.

Strong project management and data analysis are essential for success. The role reports to the Director of Medicare Stars and involves collaboration with multiple departments to drive quality improvement for members and

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