Medicare Strategy & Stars Director (Remote)

Centene Management Company LLC; Missouri; Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements (remote/hyb

Flexible work arrangements (remote/hyb

Job summary

Centene Management Company LLC is seeking a Director of Quality Medicare Strategy to drive multi-year Stars performance and market expansion across Medicare Advantage. This role partners with stakeholders to translate CMS requirements into actionable plans, aligning teams and enhancing provider engagement for measurable quality improvements.

The ideal leader has deep Medicare Advantage expertise and a strong financial/analytic background, capable of guiding cross-functional initiatives and

Qualifications

• Bachelor's degree in a related field with 5+ years of Medicare Advantage experience.
• Experience developing and implementing new business strategies in Medicare Advantage.
• Strong financial and analytical background.

Responsibilities

• Lead multi-year Medicare Stars strategy and market expansion planning.
• Coordinate cross-functional teams to implement business strategies.
• Develop state and county expansion market recommendations.
• Oversee network and sales channel development for new state expansions.
• Collaborate with product development to implement innovations.
• Provide support for financial, sales, and operations reporting.

Skills

Medicare Advantage expertise

Medicare Stars expertise

Data analysis

Stakeholder management

Cross-functional leadership

Financial analysis

Education

Bachelor's degree in a related field

Equivalent work experience

Job description

Centene Management Company LLC is seeking a Director of Quality Medicare Strategy to drive multi-year Stars performance and market expansion across Medicare Advantage. This role partners with stakeholders to translate CMS requirements into actionable plans, aligning teams and enhancing provider engagement for measurable quality improvements.

The ideal leader has deep Medicare Advantage expertise and a strong financial/analytic background, capable of guiding cross-functional initiatives and