Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Owensboro (KY); Remote; USD 80,000 - 120,000; Full time

Job summary

A leading healthcare organization seeks a Program Manager for Medicare Stars & Quality Improvement. The role involves overseeing projects, managing teams, and driving quality improvement initiatives to enhance Star Ratings. Ideal candidates will have a Bachelor's degree and significant experience in Medicare project management, with a focus on operational excellence.

Benefits

Competitive benefits

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Knowledge of Star Ratings & Quality Improvement programs.
• Experience in a highly matrixed organization preferred.

Responsibilities

• Oversee and implement healthcare quality improvement initiatives.
• Plan and direct schedules, initiatives, and budgets.
• Lead teams in executing Star Ratings strategies.

Skills

Project management

Communication

Operational process improvement

Medicare experience

Leadership

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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. May oversee external vendors and direct system analysis and program staff. Focuses on project and program management for Stars Program and Quality Improvement activities.

Job Duties

1. Collaborate with teams and health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
2. Support Stars program execution and governance to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
3. Plan and direct schedules, initiatives, and budgets.
4. Monitor projects from inception through delivery and outcomes measurement.
5. Oversee external vendors as needed.
6. Focus on process improvement, organizational change management, and program management related to the Medicare Stars Program.
7. Lead and manage teams in planning and executing Star Ratings strategies and programs.
8. Serve as the Medicare Stars subject matter expert and lead programs to meet critical needs.
9. Communicate and collaborate with health plans to analyze needs and translate them into functional requirements.
10. Deliver necessary artifacts and reports.
11. Work with enterprise and health plan leaders to identify process improvement opportunities.
12. Track key performance indicators and program effectiveness.
13. Create business requirements documents, test plans, and training materials.
14. Generate and distribute scheduled reports.

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.

Preferred Experience: 5-7 years in Medicare Stars Program or Project management, managed care experience, experience in a highly matrixed organization.

Molina Healthcare offers competitive benefits. Apply via the intranet if current employee. Employment type: Full-time, Mid-Senior level, in Project Management and IT industries.