Program Manager, Medicare Stars & Quality Improvement (Remote)

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

Job summary

A leading company in healthcare is seeking a Program Manager for Medicare Stars & Quality Improvement initiatives. This role involves overseeing projects, collaborating with health plans, and ensuring quality improvement. Ideal candidates have a Bachelor's degree and 3-5 years of relevant experience in Medicare program management.

Qualifications

• 3-5 years in Medicare Stars Program and Project management.
• Knowledge of Star Ratings & Quality Improvement programs.
• Experience in a highly matrixed organization preferred.

Responsibilities

• Oversee and implement healthcare quality improvement initiatives.
• Collaborate with teams to improve Star Ratings.
• Monitor projects from inception through delivery.

Skills

Project management

Communication

Leadership collaboration

Operational process improvement

Medicare experience

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Microsoft Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

Be among the first 25 applicants

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

The Molina Medicare Stars Program Manager oversees, plans, and implements health care 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. May engage and oversee external vendors, and direct system analysis and program staff. The role primarily focuses on project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborate with teams and health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
• Support Stars program execution, governance, outcomes measurement, and initiatives to improve Star Ratings.
• Plan and direct schedules, program initiatives, and project budgets.
• Monitor projects from inception through delivery and outcomes measurement.
• Engage and 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 and programs.
• Serve as the Medicare Stars subject matter expert and lead programs to meet critical needs.
• Communicate and collaborate with health plans to analyze needs and transform goals into functional requirements.
• Deliver necessary artifacts, including reports, requirements documents, test plans, and training materials.
• Work with enterprise and health plan leaders to recommend process improvements.
• Monitor and track KPIs, programs, and initiatives to assess value and effectiveness.

Job Qualifications

Required Education: Bachelor's Degree or equivalent experience.

Required Experience/Skills: 3-5 years in Medicare Stars Program and Project management, knowledge of Star Ratings & Quality Improvement programs, operational process improvement, Medicare experience, proficiency with Microsoft Project and Visio, excellent communication skills, and experience with leadership collaboration.

Preferred Education: Graduate Degree or equivalent.

Preferred Experience: 5-7 years in Medicare Stars Program and/or Project management, managed care experience, and experience in a highly matrixed organization.

Interested Molina employees should apply via the intranet. Molina Healthcare offers competitive benefits. EOE M/F/D/V.

Pay Range: $77,969 - $142,549 annually. Actual compensation varies based on location, experience, education, and skills.

Additional Details

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