Sr Program Manager, Medicare Stars

• 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, plana 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

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Info

Job Identification: 2029000

Job Category: Quality and Risk Adjustment

Posting Date: 2024-12-17T17:05:35 00:00

Job Schedule: Full time