Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Cincinnati (OH); Remote; USD 80,000 - 120,000; Full time

Job summary

A leading company in healthcare is seeking a Program Manager for Medicare Stars & Quality Improvement. This remote position involves overseeing quality improvement initiatives, managing projects from design to outcomes measurement, and collaborating with cross-functional teams to enhance Medicare Star Ratings. The ideal candidate will have significant experience in program management, operational process improvement, and a strong background in Medicare systems.

Qualifications

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

Responsibilities

• Collaborate on Medicare Quality Improvement programs, managing projects from start to finish.
• Focus on process improvement and program management related to Medicare Stars.
• Lead and manage teams in planning and executing Star Ratings strategies.

Skills

Project Management

Medicare Experience

Operational Process Improvement

Excellent Communication Skills

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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, delivering impactful initiatives from design to outcomes measurement. May oversee external vendors and direct system analysis and program staff. Focuses on project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborate with teams & health plans on Medicare Quality Improvement programs, managing projects from start to finish.
• Support Stars program execution, governance, and initiatives to improve Star Ratings.
• Plan and direct schedules, initiatives, and budgets.
• Monitor projects from inception through delivery and outcomes measurement.
• Oversee external vendors as needed.
• Focus on process improvement, organizational change management, and program management related to Medicare Stars.
• Lead and manage teams in planning and executing Star Ratings strategies.
• Serve as the Medicare Stars subject matter expert and lead programs to meet key needs.
• Communicate with health plans to analyze and transform needs into functional requirements.
• Deliver necessary artifacts, including reports and documentation.
• Provide recommendations for process improvements within the organization.
• Track and monitor key performance indicators of programs and initiatives.

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; Medicare experience; proficiency with Microsoft Project and Visio; excellent communication skills; 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; experience in a highly matrixed organization.