Program Manager, Medicare Stars & Quality Improvement (Remote)

Lensa; Vancouver (WA); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading company in healthcare is seeking a Program Manager for the Medicare Stars & Quality Improvement initiatives. The role involves overseeing projects, collaborating with teams, and ensuring quality improvement across programs. Candidates should have experience in Medicare Stars Program management and strong communication skills. This full-time position offers competitive benefits and a salary range reflecting the candidate's experience and education.

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 and implements healthcare quality improvement initiatives.
• Collaborates with teams to deliver Medicare Quality Improvement programs.
• Monitors projects from inception through delivery and outcomes measurement.

Skills

Medicare Stars Program Management

Project Management

Operational Process Improvement

Communication

Presentation Skills

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)

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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 outcomes measurement. Monitors programs from inception through delivery. 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

• Collaborates with teams & health plans impacted by Medicare Quality Improvement programs, delivering products from design to completion.
• Supports Stars program execution and governance to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
• Plans and directs schedules, program initiatives, and budgets.
• Monitors projects from inception through delivery and outcomes measurement.
• May oversee external vendors.
• 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.
• Provides recommendations on process improvements within the business.
• Monitors and tracks KPIs, programs, and initiatives to reflect their value and effectiveness.
• Creates business requirements documents, test plans, traceability matrices, user training materials, and related documentation.
• Generates and distributes standard reports on schedule.

Job Qualifications

Required Education

Bachelor's Degree or equivalent experience.

Required Skills & Experience

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

To all current Molina employees: Please apply through the intranet.

Molina Healthcare offers competitive benefits. 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, IT
• Industries: IT Services, IT Consulting