Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Las Cruces (NM); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization is seeking a Program Manager for their Medicare Stars initiatives. This role involves overseeing quality improvement projects, managing cross-functional teams, and ensuring successful program delivery. The ideal candidate will have extensive experience in Medicare Stars programs and project management, along with strong communication and operational skills. Join a dynamic team focused on enhancing healthcare quality and outcomes.

Benefits

Competitive benefits

Qualifications

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

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Collaborates with teams & health plans to deliver Medicare Quality Improvement programs.

Skills

Communication

Operational Process Improvement

Project Management

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 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 from design to completion.
• Supports Stars program execution and governance, communicates, measures outcomes, and develops initiatives to improve Star Ratings.
• Plans and directs schedules, 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 program management related to 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 and 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, ability to partner across organizational levels.
Preferred Education: Graduate Degree or equivalent.
Preferred Experience: 5-7 years of Medicare Stars Program and/or Project management, managed care experience, experience in a highly matrixed organization.

To current Molina employees: Apply through the intranet.

Molina Healthcare offers competitive benefits. EOE M/F/D/V.
Pay Range: $77,969 - $142,549 annually.
Note: Actual compensation varies based on location, experience, education, and skills.

Additional Details

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

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