Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Sioux City (IA); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company in health care is seeking a Program Manager for the Medicare Stars Program. This role involves overseeing quality improvement initiatives, managing projects from design to completion, and collaborating with various teams to enhance Star Ratings. The ideal candidate will have significant experience in project management within the Medicare framework and possess strong communication skills.

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Knowledge of Star Ratings & Quality Improvement programs.
• Experience working with leadership across organizations.

Responsibilities

• Oversees, plans, and implements health care quality improvement initiatives.
• Collaborates with teams and health plans to improve Star Ratings.
• Tracks key performance indicators and effectiveness of programs.

Skills

Communication

Presentation

Operational Process Improvement

Project Management

Medicare Knowledge

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)

1 day ago - Be among the first 25 applicants

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

The 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 completion and measuring outcomes. Monitors programs from inception through delivery and may oversee external vendors. Assigns, directs, and monitors system analysis and program staff. The primary focus is project/program management for Stars Program and Quality Improvement activities.

Job Duties

1. Collaborates with teams and health plans impacted by Medicare Quality Improvement programs, delivering products through the design process to completion.
2. Supports Stars program execution and governance to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
3. Plans and directs schedules for program initiatives and project budgets.
4. Monitors projects from inception through delivery and outcomes measurement.
5. May oversee external vendors' work.
6. Focuses on process improvement, organizational change management, and other processes related to the Medicare Stars Program.
7. Leads and manages teams in planning and executing Star Ratings strategies and programs.
8. Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
9. Communicates and collaborates with health plans to analyze needs and transform them into functional requirements.
10. Delivers necessary artifacts such as business requirements documents, test plans, and training materials.
11. Works with enterprise and health plan leaders to recommend process improvements.
12. Tracks key performance indicators and the effectiveness of Stars and Quality Improvement programs.
13. Creates reports and documentation as needed.

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 experience.
• Medicare experience.
• Proficiency with Microsoft Project and Visio.
• Excellent communication and presentation skills.
• Experience working with leadership across organizations.

Preferred Education

Graduate Degree or equivalent experience.

Preferred Experience

• 5-7 years of Medicare Stars Program and/or Project management experience.
• Managed Care experience.
• Experience in a highly matrixed, cross-functional organization.

To apply, current Molina employees should use the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer.

Pay Range: $77,969 - $142,549 / year. Actual compensation varies based on location, experience, education, and skills.

Additional Details

• Seniority level: Mid-Senior level
• Employment type: Full-time
• Job functions: Project Management, IT
• Industries: IT Services, IT Consulting