Program Manager, Medicare Stars & Quality Improvement (Remote)

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

Job summary

A leading healthcare organization is seeking a Program Manager to oversee Medicare Stars initiatives. This role involves project management, collaboration with teams, and delivering impactful quality improvement programs. The ideal candidate will have significant experience in Medicare Stars and operational process improvement, along with strong communication skills. Join a dynamic team focused on enhancing healthcare quality and outcomes.

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Knowledge of Star Ratings & Quality Improvement programs.

Responsibilities

• Oversees Medicare Stars projects and quality improvement initiatives.
• Monitors programs from inception through delivery.
• Leads teams in planning and executing Star Ratings strategies.

Skills

Communication

Presentation

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

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, delivering impactful initiatives from design to outcomes measurement. Monitors programs from inception through delivery, engaging external vendors as needed. 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

• Collaborates with teams & 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, initiatives, and budgets.
• Monitors projects from inception through delivery and outcomes measurement.
• Oversees external vendors as needed.
• 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 with health plans to analyze and transform needs into functional requirements.
• Delivers necessary artifacts, such as business requirements documents and test plans.
• Provides recommendations on process improvements within the organization.
• Monitors and tracks KPIs, programs, and initiatives to assess value and effectiveness.
• Creates documentation including business requirements, test plans, and user training materials.
• 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 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 job listing. Molina Healthcare offers competitive benefits and is 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 Information

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