Medicare Stars Quality Improvement Leader

Molina Talent Acquisition; United States; Remote; USD 90,000 - 130,000; Full time

Job summary

Molina Healthcare seeks a Medicare Stars Quality Improvement (QI) Program Lead to provide subject matter expertise and leadership for enterprise Stars QI initiatives. You will plan, manage, and measure outcomes, collaborating across health plans and functional areas to drive performance improvements and governance.

The role requires advanced knowledge of Medicare Stars, data analysis, and strong communication skills in a fast-paced environment.

Qualifications

• Demonstrated knowledge of Medicare Star ratings and QI programs.
• Advanced knowledge of quality discipline, metrics and performance standards.
• Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
• Strong business writing and communication skills.

Responsibilities

• Collaborates on enterprise Medicare Stars QI programs and initiatives.
• Manages, plans and executes Stars ratings programs.
• Supports Stars program execution and governance; communicates and measures outcomes.
• Leads programs to meet critical needs and provides recommendations.

Skills

Medicare Stars knowledge

Data analysis

Project management

Strategic thinking

Stakeholder communication

Microsoft Excel

Job description

Molina Healthcare seeks a Medicare Stars Quality Improvement (QI) Program Lead to provide subject matter expertise and leadership for enterprise Stars QI initiatives. You will plan, manage, and measure outcomes, collaborating across health plans and functional areas to drive performance improvements and governance.

The role requires advanced knowledge of Medicare Stars, data analysis, and strong communication skills in a fast-paced environment.