Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Grand Rapids (MI); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company in healthcare is seeking a Program Manager for its Medicare Stars Program. This role involves overseeing quality improvement initiatives, managing projects, and collaborating with cross-functional teams to enhance Star Ratings. The ideal candidate will have a strong background in Medicare programs and project management, along with excellent communication skills.

Qualifications

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

Responsibilities

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

Skills

Project Management

Communication

Operational Process Improvement

Medicare Experience

Presentation Skills

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Molina Healthcare, is seeking professionals. Apply via Lensa today!

Job Description

Job Summary

Molina Medicare Stars Program Manager oversees, plans, and implements new and existing 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. Monitors programs from inception through delivery, may oversee external vendors, and directs 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 design to completion.
• Supports Stars program execution and governance to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
• Plans and directs schedules for 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 related processes for 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.
• Collaborates 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, programs, and initiatives to reflect value and effectiveness.
• Creates business requirements documents, test plans, traceability matrices, user training materials, and other documentation.
• Generates and distributes standard reports on schedule.

Job Qualifications

REQUIRED EDUCATION: Bachelor's Degree or equivalent experience.

Required Experience/Knowledge, Skills & Abilities

• 3-5 years of Medicare Stars Program and Project management experience.
• 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 leadership across organizations.

Preferred Education

Graduate Degree or equivalent experience.

Preferred Experience

• 5-7 years of Medicare Stars Program and/or Project management experience.
• Managed Care experience.
• Experience in a highly matrixed, cross-functional organization.

Current Molina employees interested in this position should apply through the intranet.

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

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

• Actual compensation may vary based on location, experience, education, and skills.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Project Management and Information Technology

Industries

• IT Services and IT Consulting