Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Augusta (GA); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company is seeking a Program Manager for Medicare Stars & Quality Improvement to oversee and implement health care quality initiatives. The role focuses on managing projects related to Medicare Stars, collaborating with teams, and ensuring effective program delivery. Ideal candidates will have a Bachelor's degree, relevant experience, and strong communication skills.

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Knowledge of Star Ratings & Quality Improvement programs.
• Excellent communication skills and experience collaborating with leadership.

Responsibilities

• Oversees and implements health care quality improvement initiatives.
• Plans and directs schedules, program initiatives, and project budgets.
• Monitors projects from inception through delivery and outcomes measurement.

Skills

Medicare Stars Program Management

Project Management

Operational Process Improvement

Communication

Collaboration with Leadership

Education

Bachelor's Degree or equivalent experience

Graduate Degree or equivalent (preferred)

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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Job Description

Job Summary

Molina Medicare Stars Program Manager oversees, plans, and implements health care quality improvement initiatives and education programs. Responsible for Medicare Stars projects involving enterprise, department, or cross-functional teams of subject matter experts, delivering initiatives from design to outcomes measurement. Monitors programs from inception through delivery. May oversee external vendors. Assigns, directs, 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 & health plans impacted by Medicare Quality Improvement programs, delivering products through the design process to completion.
• Supports Stars program execution and governance to communicate, measure outcomes, and develop 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 & programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Communicates with health plans to analyze needs and transform them into functional requirements.
• Delivers necessary artifacts.
• Provides recommendations on process improvements within the business.
• Monitors and tracks KPIs, programs, and initiatives to reflect their value and effectiveness.
• Creates business requirements documents, test plans, traceability matrices, user training materials, and related documentation.
• Generates and distributes standard reports on schedule.

Job Qualifications

Required Education: Bachelor's Degree or equivalent experience.

Required Experience/Skills: 3-5 years of Medicare Stars Program and Project management experience, knowledge of Star Ratings & Quality Improvement programs, operational process improvement experience, Medicare experience, proficiency with Microsoft Project and Visio, excellent communication skills, and experience collaborating with leadership.

Preferred Education: Graduate Degree or equivalent.

Preferred Experience: 5-7 years of Medicare Stars Program and/or Project management, managed care experience, and experience in a highly matrixed organization.

Current Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. Equal Opportunity Employer. Pay Range: $77,969 - $142,549 annually.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job function: Project Management and IT
• Industries: IT Services and Consulting