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Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa

Cleveland (OH)

Remote

USD 77,000 - 143,000

Full time

2 days ago

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Job summary

A leading company seeks a Program Manager for the Medicare Stars and Quality Improvement initiatives, focusing on overseeing and implementing health care quality projects. This remote role involves leading cross-functional teams, enhancing Star Ratings, and improving organizational processes. Ideal candidates will possess solid experience in Medicare programs and project management, along with excellent communication and leadership skills.

Benefits

Competitive benefits and compensation package

Qualifications

3-5 years of Medicare Stars Program and Project management experience required.
Demonstrated knowledge of Star Ratings & Quality Improvement programs.
Experience working in a cross-functional, highly matrixed organization is preferred.

Responsibilities

Oversees, plans and implements health care quality improvement initiatives.
Collaborates with teams on Medicare Quality Improvement programs.
Monitors and tracks project performance metrics.

Skills

Excellent presentation and communication skills

Operational Process Improvement

Team collaboration

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Program Manager, Medicare Stars & Quality Improvement (Remote)

3 days ago Be among the first 25 applicants

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare.

Job Description

Job Summary

Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' 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 involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
Supports Stars program execution and governance needs to communicate, measure outcomes and develop initiatives to improve Star Ratings
Plans and directs schedules Program initiatives, as well as project budgets.
Monitors the project from inception through delivery and outcomes measurement.
May engage and oversee the work of external vendors.
Focuses on process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program
Leads and manages team in planning and executing Star Ratings strategies & programs.
Serves as the Medicare Stars subject matter expert in the functional area and leads programs to meet critical needs.
Communicates and collaborates with health plans to analyze and transform needs and goals into functional requirements.
Delivers the appropriate artifacts as needed.
Works with Enterprise and Health Plan l leaders within the business to provide recommendations on opportunities for process improvements.
Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs
Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
Generate and distribute standard reports on schedule

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.

Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs

Operational Process Improvement experience.

Medicare experience.

Experience with Microsoft Project and Visio.

Excellent presentation and communication skills.

Experience partnering with different levels of leadership across the organization.

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 cross functional highly matrixed organization.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

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

Pay Range: $77,969 - $142,549 / ANNUAL

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

If you have questions about this posting, please contact support@lensa.com

Seniority level

Seniority level
Mid-Senior level

Employment type

Employment type
Full-time

Job function

Job function
Project Management and Information Technology
Industries
IT Services and IT Consulting

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