Medicare Quality and Stars Program Manager

Medicare Quality and Stars Program Manager

eternalHealth The Next Generation of Medicare Advantage

Healthcare is confusing, but it doesn’tneed to be. eternalHealth is a consumer-centric, start-up Medicare Advantage Health Plan based in Boston.

We are committed to creating long-lasting partnerships with our members, our providers, and you!

Role Overview

Reporting to the CMO of eternalHealth, the Medicare STAR Manager will align with the executive team, internal stakeholders, and external stakeholders to create, plan, execute, monitor and manage a comprehensive Medicare STAR management strategy for eternalHealth.

Essential Functions

Leads enterprise STAR related data strategy, including companyroadmap, data governance, dashboard creation and maintenance

Manages critical STAR-related programs offeredby health plan vendors

Leads strategy for alignment around Population Health and Network teams for member and provider gap closure outreach

Manages critical STAR program alignments with our Third Party Administrator

Leads procurement cycles for new STAR-related services and vendors, from the creationof the RFPs through onboarding

Leads all internal and external stakeholder reporting related to STAR management

Supports collection of new data sources / feeds and integrates them into operations

Develops data analysistools and deliversdata driven insights

Supports internal and vendor data submissions

Develops and executesproject plans with business owners and independently

Manages day-to-day operations to support STAR program success

Serves as a subject matter expert for the organization on various aspects of STAR management

Proactively manages changesin project scope,identifying potential crisesand devising contingency plans

Provides timely reporting to accountable executive on project status, inclusive of accomplishments, deliverables, planned actions and barriers

Defines project successcriteria and disseminated to affected partiesthroughout the project life cycle

Identify resources needed and assignsindividual responsibilities

Creates, reviews, and disseminates projectgovernance and progressstatus documents

Coaches, mentors, motivates, and supervise projectteam members and influences them to take positive action and accountability for their assigned work

Other duties as assigned

Minimum Requirements

Minimum of at least 5 years of health plan experience managing a multi-contract Medicare STAR program to success

Bachelor’s Degreerequired

Project Management Professional (PMP) preferred

Master’s degree in businessadministration, healthcare administration, or related field preferred

Experience coordinating with cross-functional teams and / or external partners / stakeholders.

Have knowledgearound industry best practices and regulatory compliant reporting

Interpersonal skills with the ability to work in a fast-paced environment and health plan as anindependent contributor with little supervision or as an active team member depending on the situation and needs.

Strong technicalskills, including with Microsoft Suite (Excel, PowerPoint, Project, etc.) and other collaborative internal and external management tools

Working with eternalHealth : eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices.

As a woman-led company, and one committedto diversity at all levels, we strive for anorganization of inclusion and acceptance.

We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience.

Our valued team members are encouraged and expectedto offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.

Accommodations : Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you requirereasonable accommodations duringthe application process (which may include a job-related assessment) please contact us at [email protected].