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 health care quality initiatives, managing projects, and collaborating with cross-functional teams to improve Star Ratings. The candidate will lead process improvements and monitor key performance indicators while ensuring effective communication with health plans. A Bachelor's degree and relevant experience in Medicare programs are required.

Qualifications

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

Responsibilities

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

Skills

Project Management

Communication

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 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 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.

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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