Program Manager, Medicare Stars & Quality Improvement (Remote)

Molina Healthcare; Arizona; Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization seeks a Medicare Stars Program Manager to oversee quality improvement initiatives and manage projects aimed at enhancing Star Ratings. This role involves working with cross-functional teams and external vendors to deliver impactful healthcare programs while requiring significant experience in Medicare program management and operational processes.

Benefits

Competitive benefits and compensation

Equal Opportunity Employer

Qualifications

• 3-5 years of Medicare Stars Program and Project Management experience.
• Knowledge of Star Ratings & Quality Improvement programs.
• Operational process improvement experience.

Responsibilities

• Oversees projects from inception through delivery to ensure quality outcomes.
• Collaborates with health plans and manages program initiatives.
• Serves as the Medicare Stars subject matter expert.

Skills

Project Management

Healthcare Quality Improvement

Process Improvement

Communication

Leadership

Presentation Skills

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Job Description

Job Summary

The Molina Medicare Stars Program Manager oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs. Responsible for Medicare Stars projects involving enterprise, department, or cross-functional teams of subject matter experts, delivering impactful initiatives from design to outcomes measurement. Monitors programs from inception through delivery and may oversee external vendors. Assigns and monitors system analysis and program staff. The primary focus is project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborates with teams and health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
• Supports Stars program execution, governance, communication, outcome measurement, and initiatives to improve Star Ratings.
• Plans and directs schedules, program initiatives, and project budgets.
• Monitors projects from inception through delivery and outcomes measurement.
• May oversee external vendors.
• Focuses on process improvement, organizational change management, and program management related to the Medicare Stars Program.
• Leads and manages teams in planning and executing Star Ratings strategies and programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Collaborates with health plans to analyze needs and translate them into functional requirements.
• Delivers necessary artifacts and documentation.
• Recommends process improvements within the organization.
• Monitors key performance indicators and program effectiveness.
• Creates business requirements documents, test plans, traceability matrices, training materials, and reports.

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.
• Knowledge of and experience with Star Ratings & Quality Improvement programs.
• Operational process improvement experience.
• Medicare experience.
• Proficiency with Microsoft Project and Visio.
• Excellent presentation and communication skills.
• Experience partnering with leadership across organizations.

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 highly matrixed, cross-functional organization.

To all current Molina employees: Interested applicants should apply through the intranet job listing.

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

Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation varies based on location, experience, education, and skills.