Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Jacksonville (FL); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company is seeking a Program Manager for Medicare Stars & Quality Improvement. The role involves overseeing healthcare quality initiatives, managing projects from design to completion, and collaborating with cross-functional teams to improve Star Ratings. Ideal candidates will have experience in Medicare programs and project management, with strong communication skills.

Qualifications

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

Responsibilities

• Oversee, plan, and implement healthcare quality improvement initiatives.
• Collaborate with teams and health plans on Medicare Quality Improvement programs.
• Monitor projects from inception through delivery and outcomes measurement.

Skills

Medicare Stars Program

Project Management

Operational Process Improvement

Communication

Leadership

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 of subject matter experts. Manages initiatives from design to completion and 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

1. Collaborate with teams and health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
2. Support Stars program execution, governance, and develop initiatives to improve Star Ratings.
3. Plan and direct schedules, initiatives, and project budgets.
4. Monitor projects from inception through delivery and outcomes measurement.
5. Oversee external vendors as needed.
6. Focus on process improvement, organizational change, and program management related to Medicare Stars.
7. Lead and manage teams in planning and executing Star Ratings strategies.
8. Serve as the Medicare Stars subject matter expert and lead programs to meet critical needs.
9. Communicate with health plans to analyze needs and translate them into functional requirements.
10. Deliver necessary artifacts and reports.
11. Work with enterprise and health plan leaders to recommend process improvements.
12. Monitor and track key performance indicators of Stars and Quality Improvement programs.
13. Create business requirements documents, test plans, and training materials.
14. Generate and distribute standard reports on schedule.

Job Qualifications

Required Education

Bachelor's Degree or equivalent.

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.
• Experience with Microsoft Project and Visio.
• Excellent communication and presentation skills.
• Ability to partner with leadership across organization.

Preferred Education

Graduate Degree or equivalent.

Preferred Experience

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

Interested Molina employees should apply through the intranet.

Molina Healthcare offers competitive benefits. EOE M/F/D/V.

Pay Range: $77,969 - $142,549 / year. Actual compensation varies by location, experience, and skills.

Additional Details

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