Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Orlando (FL); 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, and collaborating with various teams to enhance Star Ratings. Candidates should have a Bachelor's degree and 3-5 years of relevant experience in Medicare program management.

Qualifications

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

Responsibilities

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

Skills

Medicare Stars Program Management

Project Management

Operational Process Improvement

Communication

Presentation Skills

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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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 impactful initiatives from design to completion and outcomes measurement. Monitors programs from inception through delivery and may oversee external vendors. Focuses on project and 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 from design to completion.
2. Supports Stars program execution and governance to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
3. Plans and directs program schedules and 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 transform them into functional requirements.
10. Produces necessary artifacts such as business requirements documents, test plans, and training materials.
11. 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 at various levels.

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, cross-functional organization.

To apply, current Molina employees should use the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer (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