Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Lexington (KY); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization is seeking a Program Manager for Medicare Stars & Quality Improvement. This role involves overseeing quality improvement initiatives, managing projects from design to completion, and leading teams to enhance Star Ratings. Candidates should have a Bachelor's degree and 3-5 years of relevant experience, with strong skills in project management and communication.

Benefits

Competitive benefits

Qualifications

• 3-5 years in Medicare Stars Program and Project management required.
• 5-7 years in Medicare Stars Program and/or Project management preferred.
• Experience in a highly matrixed organization preferred.

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Collaborates with teams and health plans involved in Medicare Quality Improvement.
• Leads and manages teams in planning and executing Star Ratings strategies.

Skills

Project Management

Communication

Operational Process Improvement

Medicare Experience

Team Leadership

Education

Bachelor's Degree or equivalent experience

Graduate Degree or equivalent (preferred)

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 initiatives from design to completion and outcomes measurement. Monitors programs from inception through delivery, may oversee 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 involved in Medicare Quality Improvement programs, delivering products from design to completion.
• Supports Stars program execution, governance, outcome measurement, and initiatives to improve Star Ratings.
• Plans and manages schedules, programs, 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 Medicare Stars.
• 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 develop 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 in Medicare Stars Program and Project management, knowledge of Star Ratings & Quality Improvement, operational process improvement, Medicare experience, proficiency with Microsoft Project and Visio, excellent communication skills, experience working with leadership.

Preferred Education: Graduate Degree or equivalent.

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

To all current Molina employees: Apply through 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