Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Provo (UT); 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 cross-functional teams, and ensuring effective project execution to improve Star Ratings. The ideal candidate will have significant experience in Medicare programs and project management.

Benefits

Competitive benefits and compensation package

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

• Oversees, plans, and implements health care quality improvement initiatives.
• Monitors projects from inception through delivery and outcomes measurement.
• Leads and manages teams in planning and executing Star Ratings strategies.

Skills

Communication

Project Management

Operational Process Improvement

Medicare Experience

Education

Bachelor's Degree or equivalent experience

Graduate Degree or equivalent experience

Tools

Microsoft Project

Visio

Job description

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 of subject matter experts, delivering impactful initiatives from design to completion and outcomes measurement. Monitors programs from inception through delivery and may oversee external vendors. Focuses on project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborates with teams & health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
• Supports Stars program execution, governance, outcome measurement, and initiatives to improve Star Ratings.
• Plans and directs schedules, program initiatives, and project budgets.
• Monitors projects from inception through delivery and outcomes measurement.
• May oversee external vendors.
• Focuses on process improvement, organizational change management, and program management related to Medicare Stars.
• Leads and manages teams in planning and executing Star Ratings strategies & programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Communicates with health plans to analyze needs and develop functional requirements.
• Delivers necessary artifacts.
• Provides recommendations on process improvements with enterprise and health plan leaders.
• Tracks key performance indicators, programs, and initiatives to assess value and effectiveness.
• Creates business requirements documents, test plans, training materials, and related documentation.
• 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, 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 and/or Project management, managed care experience, and experience in a highly matrixed organization.

To all current Molina employees: Apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. EOE M/F/D/V.

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