Provider Quality & Value-Based Care Program Lead

Medica; Hopkins (MN); On-site; USD 70,000 - 105,000; Full time

Benefits offered by this job

401K contributions

Paid time off

Healthcare benefits

Job summary

Medica is seeking a Provider Quality Program Manager II to coordinate provider quality initiatives and support performance improvement across lines of business. You will partner with Quality, Clinical Provider Partnerships, Network Management, and operations to advance Medicare Star Ratings, Medicaid quality, and value-based care goals.

Working with limited supervision, you’ll analyze performance data, develop recommendations, and drive program components to improve outcomes and close care gaps.

Qualifications

• Bachelor's degree or equivalent in a related field.
• 5+ years of healthcare quality, provider relations, population health, or related field.
• Experience with Medicare Star Ratings, HEDIS, Medicaid quality programs and value-based care is preferred.

Responsibilities

• Coordinate provider quality initiatives across groups and lines of business.
• Support Medicare Stars, Medicaid quality, HEDIS, and value-based care programs.
• Monitor milestones, deliverables, and outcomes to meet goals.
• Collaborate with cross-functional teams including Quality Analytics and Network Management.

Skills

Healthcare quality

Project management

Stakeholder management

Data analysis

Education

Bachelor's degree or equivalent

Tools

Microsoft Office

Healthcare reporting tools

Job description

Medica is seeking a Provider Quality Program Manager II to coordinate provider quality initiatives and support performance improvement across lines of business. You will partner with Quality, Clinical Provider Partnerships, Network Management, and operations to advance Medicare Star Ratings, Medicaid quality, and value-based care goals.

Working with limited supervision, you’ll analyze performance data, develop recommendations, and drive program components to improve outcomes and close care gaps.