Program Manager, Medicare Stars & Quality Improvement

Program Manager, Medicare Stars & Quality Improvement

The Molina Medicare Stars Program Manager oversees, plans, and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department, or cross-functional teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement.

Job Description

The primary focus is project / program management for Stars Program and Quality Improvement activities.

Key Responsibilities include :

• Collaborates with teams and health plans impacted by Medicare Quality Improvement programs.
• Supports Stars program execution and governance needs to communicate, measure outcomes, and develop initiatives to improve Star Ratings.
• Plans and directs schedules Program initiatives, as well as project budgets.
• Monitors the project from inception through delivery and outcomes measurement.
• May engage and oversee the work of external vendors.
• Focuses on process improvement, organizational change management, program management, and other processes relative to the Medicare Stars Program.
• Leads and manages team in planning and executing Star Ratings strategies and programs.
• Serves as the Medicare Stars subject matter expert in the functional area and leads programs to meet critical needs.
• Communicates and collaborates with health plans to analyze and transform needs and goals into functional requirements.
• Delivers the appropriate artifacts as needed.
• Works with Enterprise and Health Plan leaders within the business to provide recommendations on opportunities for process improvements.
• Monitors and tracks key performance indicators, programs, and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials, and other related documentations.
• Generates and distributes standard reports on schedule.

Job Qualifications Required Education

Bachelor's Degree or equivalent combination of education and experience.

Required Experience / Knowledge, Skills & Abilities include :

Preferred Education

Graduate Degree or equivalent combination of education and experience.

Preferred Experience includes :

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V. Pay Range : $77,969 - $171,058 / ANNUAL.

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