Program Manager, Medicare Stars & Quality Improvement (Remote)

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

Job summary

A leading healthcare organization is seeking a Program Manager for their Medicare Stars initiative. This role involves overseeing quality improvement projects, managing cross-functional teams, and ensuring the successful execution of Medicare Stars programs. The ideal candidate will have experience in project management and a strong understanding of Medicare processes. Join a dynamic team focused on enhancing healthcare quality and outcomes.

Qualifications

• 3-5 years of Medicare Stars Program and project management experience.
• Knowledge of Star Ratings & Quality Improvement programs.

Responsibilities

• Oversees and implements health care quality improvement initiatives.
• Plans and directs schedules, program initiatives, and project budgets.
• Tracks key performance indicators and programs.

Skills

Communication

Leadership Collaboration

Operational Process Improvement

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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Job Description

Job Summary

The 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, and directs system analysis and program staff. Focuses on 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 through design to completion.
• Supports Stars program execution and governance, communicates, measures outcomes, and develops 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’ work.
• 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.
• Communicates with health plans to analyze needs and transform them into functional requirements.
• Delivers necessary artifacts.
• Provides recommendations on process improvements within the organization.
• Tracks key performance indicators and programs to reflect their value and effectiveness.
• Creates business requirements documents, test plans, traceability matrices, user training materials, and related documentation.
• Generates and distributes 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; experience with leadership collaboration.

Preferred Education: Graduate Degree or equivalent.

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

Interested Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. EOE M/F/D/V.

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

Additional Details

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