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Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa

Orlando (FL)

Remote

USD 77,000 - 143,000

Full time

Yesterday
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Job summary

Lensa is seeking a Program Manager for Medicare Stars & Quality Improvement, responsible for managing health care quality initiatives. The role involves overseeing project management, collaborating with cross-functional teams, and ensuring successful execution of Stars program strategies. Ideal candidates have strong project management experience, excellent communication skills, and a background in Medicare Quality Improvement.

Qualifications

  • 3-5 years of Medicare Stars Program and Project management experience.
  • Demonstrated knowledge of Star Ratings & Quality Improvement programs.
  • Experience with Microsoft Project and Visio.

Responsibilities

  • Oversees, plans and implements health care quality improvement initiatives.
  • Monitors Medicare Stars projects and programs from inception to delivery.
  • Collaborates with teams on Medicare Quality Improvement programs.

Skills

Program Management
Communication Skills
Operational Process Improvement

Education

Bachelor's Degree
Graduate Degree

Tools

Microsoft Project
Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)
Program Manager, Medicare Stars & Quality Improvement (Remote)

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Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare.

Job Description

Job Summary

Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' 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 involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion.
  • Supports Stars program execution and governance needs to communicate, measure outcomes and develop initiatives to improve Star Ratings
  • Plans and directs schedules Program initiatives, as well as project budgets.
  • Monitors the project from inception through delivery and outcomes measurement.
  • May engage and oversee the work of external vendors.
  • Focuses on process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program
  • Leads and manages team in planning and executing Star Ratings strategies & programs.
  • Serves as the Medicare Stars subject matter expert in the functional area and leads programs to meet critical needs.
  • Communicates and collaborates with health plans to analyze and transform needs and goals into functional requirements.
  • Delivers the appropriate artifacts as needed.
  • Works with Enterprise and Health Plan l leaders within the business to provide recommendations on opportunities for process improvements.
  • Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs
  • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
  • Generate and distribute standard reports on schedule

Job Qualifications

REQUIRED EDUCATION :

Bachelor's Degree or equivalent combination of education and experience.

Required Experience/Knowledge, Skills & Abilities

3-5 years of Medicare Stars Program and Project management experience.

Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs

Operational Process Improvement experience.

Medicare experience.

Experience with Microsoft Project and Visio.

Excellent presentation and communication skills.

Experience partnering with different levels of leadership across the organization.

Preferred Education

Graduate Degree or equivalent combination of education and experience.

Preferred Experience

  • 5-7 years of Medicare Stars Program and/or Project management experience.
  • Managed Care experience.
  • Experience working in a cross functional highly matrixed organization.

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $142,549 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

If you have questions about this posting, please contact support@lensa.com

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

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