Program Manager, Medicare Stars & Quality Improvement (Remote) at Lensa Nampa, ID

Itlearn360; Nampa (ID); Remote; USD 77,000 - 143,000; Full time

Job summary

A leading healthcare organization is seeking a Program Manager to oversee Medicare Stars projects and quality improvement initiatives. This position emphasizes project management skills and Medicare expertise, involving collaboration with various teams to enhance service delivery and improve Star Ratings. The role requires a Bachelor's degree with substantial experience in project management within the Medicare field.

Qualifications

• 3-5 years of Medicare Stars Program and Project management experience.
• Operational process improvement experience.
• Experience in a cross-functional, highly matrixed organization.

Responsibilities

• Oversees, plans, and implements healthcare quality improvement initiatives.
• Supports Stars program execution, governance, and initiatives.
• Monitors projects from inception through delivery.

Skills

Project Management

Medicare Stars Knowledge

Communication Skills

Education

Bachelor's Degree

Graduate Degree

Tools

Microsoft Project

Visio

Job description

Program Manager, Medicare Stars & Quality Improvement (Remote) job at Lensa. Nampa, ID. 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 healthcare quality improvement initiatives and education programs. Responsible for Medicare Stars projects involving enterprise, department, or cross-functional teams, delivering initiatives from design to outcomes measurement. Monitors programs from inception through delivery, may oversee external vendors, and directs system analysis and program staff. 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.
• 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 and programs.
• Serves as the Medicare Stars subject matter expert and leads programs to meet critical needs.
• Communicates and collaborates with health plans to analyze needs and develop functional requirements.
• Delivers necessary artifacts.
• Works with Enterprise and Health Plan leaders to recommend process improvements.
• Monitors and tracks key performance indicators, programs, and initiatives.
• 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.

Required Experience/Skills: 3-5 years of Medicare Stars Program and Project management experience, knowledge of Star Ratings & Quality Improvement, operational process improvement, Medicare experience, proficiency with Microsoft Project and Visio, excellent communication skills, and experience working with leadership.

Preferred Education: Graduate Degree or equivalent.

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: If interested, apply through the intranet. Molina offers competitive benefits. Molina is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $77,969 - $142,549 / ANNUAL

• Actual compensation may vary based on location, experience, education, and skills.