Program Manager, Medicare Stars & Quality Improvement (Remote)

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

Job summary

A leading company is seeking a Program Manager for Medicare Stars & Quality Improvement initiatives. This role involves overseeing projects, collaborating with teams, and ensuring effective execution of quality improvement programs. Candidates should have experience in Medicare Stars Program management and a Bachelor's degree, with a focus on operational excellence and communication skills.

Qualifications

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

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Collaborates with teams and health plans on Medicare Quality Improvement programs.
• Monitors projects from inception through delivery and outcomes measurement.

Skills

Communication

Project Management

Operational Process Improvement

Medicare Experience

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

Be among the first 25 applicants

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 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 manages system analysis and program staff. The primary focus is project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborates with teams and health plans impacted by Medicare Quality Improvement programs, delivering products through the design process to completion.
• Supports Stars program execution and governance, communicates, measures outcomes, and develops initiatives to improve Star Ratings.
• Plans and directs schedules for program initiatives and project budgets.
• Monitors projects from inception through delivery and outcomes measurement.
• May oversee external vendors' work.
• 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 and programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Communicates with health plans to analyze and transform needs into functional requirements.
• Delivers necessary artifacts and reports on schedule.
• Works with enterprise and health plan leaders to recommend process improvements.
• Monitors and tracks KPIs, programs, and initiatives to reflect value and effectiveness.
• Creates business requirements documents, test plans, traceability matrices, user training materials, and other documentation.

Job Qualifications

Required Education: Bachelor's Degree or equivalent experience.
Experience/Skills: 3-5 years of Medicare Stars Program and Project management experience, knowledge of Star Ratings & Quality Improvement programs, operational process improvement, Medicare experience, proficiency with Microsoft Project and Visio, excellent communication skills, and experience working with leadership.
Preferred Education: Graduate Degree or equivalent experience.
Preferred Experience: 5-7 years of Medicare Stars Program experience, managed care experience, and experience in a highly matrixed organization.

Interested Molina employees should apply through the intranet. Molina Healthcare offers competitive benefits. Equal Opportunity Employer. Pay Range: $77,969 - $142,549 annually.

Additional Details

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