Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Iowa City (IA); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company is seeking a Program Manager for their Medicare Stars and Quality Improvement initiatives. This role involves overseeing healthcare quality improvement projects, engaging with teams and vendors, and managing program outcomes. The ideal candidate will have substantial experience in Medicare Stars Program management and operational improvements.

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Operational process improvement experience.

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Monitors projects from inception through delivery and outcomes measurement.

Skills

Medicare Stars Program

Project Management

Communication

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 healthcare quality improvement initiatives and education programs. Responsible for Medicare Stars projects involving enterprise, department, or cross-functional teams, delivering initiatives from design to outcomes measurement. Monitors programs from inception to delivery, may engage external vendors, and directs system analysis and program staff. The role primarily 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 the design process to completion.
• Supports Stars program execution and governance, communicates, measures outcomes, and develops 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 engage and 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 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 required artifacts as needed.
• Works with enterprise and health plan leaders to recommend process improvements.
• Monitors and tracks KPIs, programs, and initiatives to reflect value and effectiveness.
• Creates business requirements documents, test plans, traceability matrices, training materials, and related documentation.
• Generates and distributes standard 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, and experience working with leadership.
Preferred Education: Graduate Degree or equivalent.
Preferred Experience: 5-7 years of Medicare Stars Program experience, managed care experience, and experience in a highly matrixed organization.

Interested Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer. Pay Range: $77,969 - $142,549 annually.

Additional Details

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