Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Chandler (AZ); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization is seeking a Program Manager to oversee Medicare Stars and Quality Improvement initiatives. The role involves managing projects, collaborating with teams, and ensuring successful program execution. Candidates should have experience in Medicare program management and excellent communication skills.

Qualifications

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

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Collaborates with teams to deliver Medicare Quality Improvement programs.
• Monitors projects from inception through delivery.

Skills

Communication

Operational Process Improvement

Project Management

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

Molina Medicare Stars Program Manager oversees, plans, and implements healthcare 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 primarily on 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 from design to completion.
• Supports Stars program execution, governance, 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 & programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Communicates and collaborates with health plans to analyze needs and develop functional requirements.
• Delivers necessary artifacts.
• Provides recommendations on process improvements within the organization.
• Monitors key performance indicators and tracks program effectiveness.
• Creates business requirements documents, test plans, traceability matrices, training materials, and reports.

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 working 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.

To all current Molina employees: 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 / annually. Actual compensation may vary based on location, experience, education, and skills.

Additional Details

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