What are the responsibilities and job description for the Vice President Quality & Stars position at Medica?
Description
The Vice President of Quality and Stars is a key leadership role responsible for overseeing and driving quality management and improvement initiatives across the health plan. The leader will work closely with various business unit leaders to ensure that optimal Star Ratings are achieved and sustained. This position plays a crucial role in ensuring the highest standards of care and service for our members, advancing Medica's health equity strategy, and compliance with NCQA accreditation and other regulatory requirements. This VP, Quality and Stars role is responsible for the strategic direction and performance of the Medicare Stars programs, specifically focusing on achieving and maintaining a minimum of 4 stars in the CMS Star Ratings for all Medicare products, including D-SNP and MA-PD. This position requires a proven leader who can devise and implement effective strategies across the organization to enhance Medica's performance in the CMS Star Ratings measures.
The VP, Quality and Stars will work closely with various business unit leaders to ensure that optimal Star Ratings are achieved and sustained. This role emphasizes the importance of collaboration and relationship-building with key stakeholders both within the organization and in the Provider Network to drive improvements in quality outcomes and member satisfaction. In addition to strategic oversight, this role will lead the development and execution of improvement strategies for Medicare Part C and D Stars, utilizing performance analytics to identify opportunities and assess the impact of quality improvement activities.
Key Accountabilities :
Strategic Leadership
- Develop and implement a comprehensive, multi-year quality management strategy aligned with the organization's mission and objectives.
- Provide strategic oversight for organization-wide infrastructure to drive quality improvement, clinical quality enhancements and advance health equity.
- Champion member-centric, continuous improvement mindset and promote initiatives and tactics incorporating member experience and satisfaction.
Quality Program and Performance Management
Stars
Health Equity
People and Talent Development
Qualifications :
Skills and Abilities :
This position is an Office role, which requires an employee to work from the designated office, Minnetonka MN, on average, 3 times per week.
The full base pay salary range for this position is $224,000 - $336,000. Annual base pay salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and or licensures, the position's scope and responsibility, internal pay equity and external market salary data.
In addition to base compensation, this position is eligible for Medica's Short Term Incentive plan, Long Term Incentive plan and our Supplemental Executive Retirement Plan.
Medica offers a generous total rewards package that includes competitive medical, dental, vision, executive life insurance, Self-Managed Time Off, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity / Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer / Protected Veterans / Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Salary : $224,000 - $336,000
