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 for their Medicare Stars initiatives. This role involves overseeing quality improvement projects, collaborating with teams, and managing vendor relations. The ideal candidate will have extensive experience in Medicare Stars program management and excellent 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 and implements healthcare quality improvement initiatives.
• Leads teams in planning and executing Star Ratings strategies.

Skills

Medicare Stars Program Management

Operational Process Improvement

Communication

Presentation Skills

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 healthcare 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 outcomes measurement. Monitors programs from inception through delivery. May oversee external vendors and directs system analysis and program staff. Focuses primarily 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, outcome measurement, and initiative development to improve Star Ratings.
• Plans and directs schedules, initiatives, and budgets.
• Monitors projects from inception through outcomes measurement.
• May oversee external vendors.
• 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.
• Serves as subject matter expert and leads programs to meet critical needs.
• Communicates with health plans to analyze needs and transform them into functional requirements.
• Delivers artifacts such as business requirements, test plans, and training materials.
• Provides recommendations for process improvements within the organization.
• Monitors and tracks KPIs and program effectiveness.
• Creates required documentation and reports regularly.

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 cross-functional, 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 annually. Actual compensation varies by location, experience, education, and skills.

Additional Details

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