Program Manager, Medicare Stars & Quality Improvement

Molina Healthcare; Jacksonville (FL); On-site; USD 77,000 - 172,000; Full time

Job summary

A healthcare organization is seeking a Medicare Stars Program Manager to oversee, plan, and implement health care quality improvement initiatives. This role involves managing key projects and collaborating with various teams to enhance Star Ratings. Candidates should have 3–5 years of experience in project management and Medicare Stars programs, along with strong communication skills. Competitive benefits and compensation are offered.

Benefits

Competitive benefits and compensation package

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Knowledge and experience with Star Ratings & Quality Improvement programs.
• Experience partnering with different levels of leadership across the organization.

Responsibilities

• Collaborate with teams & health plans on Medicare Quality Improvement programs.
• Monitor the project from inception through delivery.
• Create business requirements documents and other necessary documentation.

Skills

Medicare Stars Program knowledge

Project management

Operational Process Improvement

Communication skills

Experience with Microsoft Project

Experience with Visio

Presentation skills

Education

Bachelor's Degree

Graduate Degree

Job description

Job Description

Job Summary

Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion.

• Supports Stars program execution and governance needs to communicate, measure outcomes and develop initiatives to improve Star Ratings

• Plans and directs schedules Program initiatives, as well as project budgets.

• Monitors the project from inception through delivery and outcomes measurement.

• May engage and oversee the work of external vendors.

• Focuses on process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program

• Leads and manages team in planning and executing Star Ratings strategies & programs.

• Serves as the Medicare Stars subject matter expert in the functional area and leads programs to meet critical needs.

• Communicates and collaborates with health plans to analyze and transform needs and goals into functional requirements.

• Delivers the appropriate artifacts as needed.

• Works with Enterprise and Health Plan l leaders within the business to provide recommendations on opportunities for process improvements.

• Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs

• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.

• Generate and distribute standard reports on schedule

Job Qualifications

REQUIRED EDUCATION :

Bachelor's Degree or equivalent combination of education and experience.

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES :

• 3-5 years of Medicare Stars Program and Project management experience.
• Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs
• Operational Process Improvement experience.
• Medicare experience.
• Experience with Microsoft Project and Visio.
• Excellent presentation and communication skills.
• Experience partnering with different levels of leadership across the organization.

PREFERRED EDUCATION :

Graduate Degree or equivalent combination of education and experience.

PREFERRED EXPERIENCE :

• 5-7 years of Medicare Stars Program and/or Project management experience.
• Managed Care experience.
• Experience working in a cross functional highly matrixed organization.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $171,058 / ANNUAL

*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.