Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Saint Petersburg (FL); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company in healthcare is seeking a Program Manager for Medicare Stars & Quality Improvement. This role involves overseeing quality improvement initiatives, managing projects, and collaborating with teams to enhance Medicare Star Ratings. Candidates should have a Bachelor's degree and 3-5 years of relevant experience in project management and quality improvement.

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.
• Collaborates with teams to deliver Medicare Quality Improvement programs.
• Monitors projects from inception through delivery.

Skills

Project Management

Quality Improvement

Communication

Operational Process Improvement

Leadership

Education

Bachelor's Degree

Graduate Degree

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 initiatives from design to outcomes measurement. Monitors programs from inception through delivery. May oversee external vendors and directs system analysis and program staff. Focuses on project 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, and outcomes measurement to improve Star Ratings.
• Plans and directs schedules, programs, and project budgets.
• Monitors projects from inception through delivery and outcomes measurement.
• May engage and oversee external vendors.
• Focuses on process improvement, organizational change management, and program management related to the Medicare Stars Program.
• 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 and collaborates with health plans to analyze needs and develop functional requirements.
• Delivers necessary artifacts and 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 experience, Managed Care experience, and experience in a highly matrixed organization.

To all current Molina employees: Apply through the intranet.

Molina Healthcare offers competitive benefits. EOE M/F/D/V.

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

Actual compensation may vary based on location, experience, education, and skills.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Project Management and Information Technology

Industries

• IT Services and IT Consulting