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Program Manager, Medicare Stars & Quality Improvement (Remote)
Lensa
San Antonio (TX)
Remote
USD 77,000 - 143,000
Full time
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Job summary
A prominent healthcare organization seeks a remote Program Manager for Medicare Stars & Quality Improvement initiatives. This role involves managing projects that enhance quality metrics in Medicare programs, collaborating with cross-functional teams, and leading process improvements. Ideal candidates have a blend of project management experience and knowledge of Medicare Stars programs.
Qualifications
- 3-5 years of Medicare Stars Program and Project management experience.
- Operational Process Improvement experience required.
- Excellent presentation and communication skills.
Responsibilities
- Oversees and implements Medicare quality improvement initiatives.
- Monitors programs from inception through delivery.
- Leads team in planning and executing Star Ratings strategies.
Skills
Education
Tools
Job description
2 days ago Be among the first 25 applicants
Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Molina Healthcare.
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
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.
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 levelMid-Senior level
- Employment typeFull-time
- Job functionProject Management and Information Technology
- IndustriesIT Services and IT Consulting
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