Senior Program Manager, Medicare Stars

Job Summary

Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Plans and directs schedules as well as program budgets. Monitors the programs and initiatives from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project / program management for Stars Program and Quality improvement activities, as well as the application of expertise in a specialized functional field of knowledge.

Job Duties

Leads and collaborates with teams & health plans impacted by Medicare Quality Improvement programs involving enterprise, department or cross-functional teams of subject matter experts, delivering products through the design process to completion. Manages, plans and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction. Supports Stars program execution and governance needs to communication, measure outcomes and develop initiatives to improve Star Ratings. Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet critical needs. Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities Leads Health plan leadership discussions to provide recommendations, performance results and opportunity assessments for improvement. Works with operational leaders within the business to provide recommendations on opportunities for process improvements, organizational change management, program management and other processes related to Medicare Star Ratings Plans and directs schedules Program initiatives, as well as program budgets. Develops, defines, and executes plans, schedules, and deliverables. Monitors programs from initiation through delivery through outcomes measurement. Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs.

Job Qualifications

REQUIRED EDUCATION : Bachelor's Degree or equivalent combination of education and experience REQUIRED EXPERIENCE / KNOWLEDGE, SKILLS & ABILITIES : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs Medicare experience Excellent presentation and communication skills Experience partnering with different level of leadership across the organization PREFERRED EXPERIENCE : 7+ years of Medicare Stars Program experience PREFERRED LICENSE, CERTIFICATION, ASSOCIATION : Six Sigma Black Belt Certification, ITIL Certification desired