Program Manager, Medicare Stars & Quality Improvement (Remote)

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

Job summary

A leading company is seeking a Program Manager for the Medicare Stars Program to oversee quality improvement initiatives. This role involves project management, collaboration with health plans, and leading teams to enhance Star Ratings. The ideal candidate will have a Bachelor's degree and several years of relevant experience, focusing on Medicare programs and operational improvements.

Qualifications

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

Responsibilities

• Oversees, plans, and implements health care quality improvement initiatives.
• Monitors projects from inception through delivery and outcomes measurement.

Skills

Communication

Operational Process Improvement

Project Management

Knowledge of Star Ratings

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, 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 primary focus is project/program management for Stars Program and Quality Improvement activities.

Job Duties

1. Collaborates with teams and health plans impacted by Medicare Quality Improvement programs, delivering products through the design process to completion.
2. Supports Stars program execution and governance to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
3. Plans and directs schedules, program initiatives, and project budgets.
4. Monitors projects from inception through delivery and outcomes measurement.
5. May oversee external vendors.
6. Focuses on process improvement, organizational change management, and program management related to the Medicare Stars Program.
7. Leads and manages teams in planning and executing Star Ratings strategies and programs.
8. Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
9. Communicates and collaborates with health plans to analyze needs and translate them into functional requirements.
10. Delivers necessary artifacts.
11. Works with enterprise and health plan leaders to recommend process improvements.
12. Monitors key performance indicators, programs, and initiatives to assess value and effectiveness.
13. Creates business requirements documents, test plans, traceability matrices, training materials, and other documentation.
14. Generates and distributes standard 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 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 organization.

To all current Molina employees: Apply through the intranet.

Molina Healthcare offers competitive benefits. Equal Opportunity Employer (EOE) M/F/D/V.

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

Additional Details

• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Functions: Project Management, Information Technology
• Industries: IT Services and Consulting