Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Tucson (AZ); Remote; USD 77,000 - 143,000; Full time

Job summary

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

Qualifications

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

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Collaborates with teams and health plans to deliver products from design to completion.
• Leads teams in planning and executing Star Ratings strategies.

Skills

Project Management

Communication

Collaboration

Operational Process Improvement

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote)

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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 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. Monitors programs from inception through delivery, may engage external vendors, and directs system analysis and program staff. The role primarily focuses on project/program management for Stars Program and Quality Improvement activities.

Job Duties

• Collaborates with teams and health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
• Supports Stars program execution, governance, outcomes 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' work.
• 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 and programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Communicates with health plans to analyze needs and transform them into 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 experience.
• Medicare experience.
• Proficiency with Microsoft Project and Visio.
• Excellent presentation and communication skills.
• Experience collaborating 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.

Current Molina employees interested in applying should do so via the intranet. Molina Healthcare offers competitive benefits. We are an Equal Opportunity Employer (EOE) M/F/D/V.

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

Additional Details

• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Function: Project Management and IT
• Industries: IT Services and Consulting