Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Kearney (NE); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization is seeking a Program Manager for Medicare Stars & Quality Improvement. The role involves overseeing quality improvement initiatives, managing projects, and collaborating with cross-functional teams to enhance healthcare delivery. Candidates should possess strong project management skills and experience in Medicare programs.

Qualifications

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

Responsibilities

• Oversees, plans, and implements health care quality improvement initiatives.
• Monitors projects from inception to delivery and outcomes measurement.
• Collaborates with teams to deliver products through the design process.

Skills

Project Management

Communication

Operational Process Improvement

Team Leadership

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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Job Description

Job Summary

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 of subject matter experts. Ensures impactful initiatives from design to outcomes measurement, monitors programs from inception through delivery, and may oversee external vendors. Focuses on project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborates with teams & health plans to deliver products through the design process to completion.
• Supports Stars program execution, governance, outcomes measurement, and initiatives to improve Star Ratings.
• Plans and directs schedules, initiatives, and project budgets.
• Monitors projects from inception to delivery and outcomes measurement.
• May oversee external vendors.
• Focuses on process improvement, organizational change management, and program management related to Medicare Stars.
• 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.
• Communicates and collaborates with health plans to analyze needs and transform them into functional requirements.
• Delivers necessary artifacts, including reports, requirements documents, and training materials.
• Works with enterprise and health plan leaders to identify process improvement opportunities.
• Monitors and tracks key performance indicators of Stars and Quality Improvement programs.

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 presentation and communication skills.
• Experience working 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.

To all current Molina employees: Apply through the intranet job listing.

Molina Healthcare offers competitive benefits. We are 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.

Additional Details

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