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Program Manager, Medicare Stars & Quality Improvement - Remote

Posted 3 weeks ago
Project Management
Full Time
USA

Overview

The Molina Medicare Stars Program Manager oversees, plans, and implements health care quality improvement initiatives and education programs, focusing on Medicare Stars projects involving cross-functional teams.

In Short

  • Collaborates with teams on Medicare Quality Improvement programs.
  • Supports Stars program execution and governance.
  • Plans and directs project schedules and budgets.
  • Monitors projects from inception to delivery.
  • Engages and oversees external vendors.
  • Focuses on process improvement and organizational change management.
  • Leads teams in planning Star Ratings strategies.
  • Acts as a subject matter expert for Medicare Stars.
  • Communicates with health plans to analyze needs.
  • Creates business documentation and reports.

Requirements

  • Bachelor's Degree or equivalent experience.
  • 3-5 years of Medicare Stars Program and Project management experience.
  • Knowledge of Star Ratings & Quality Improvement programs.
  • Experience in Operational Process Improvement.
  • Medicare experience.
  • Proficient in Microsoft Project and Visio.
  • Excellent presentation and communication skills.
  • Experience partnering with leadership across the organization.
  • Graduate Degree preferred.
  • 5-7 years of relevant experience preferred.

Benefits

  • Competitive benefits and compensation package.
  • Equal Opportunity Employer.

M.T.A

Molina Talent Acquisition

Molina Healthcare is a leading provider of managed healthcare services, dedicated to improving the health of its members through high-quality, cost-effective care. The company focuses on network strategy and development, ensuring compliance with federal, state, and local regulations while aligning with its core values and strategic goals. Molina Healthcare emphasizes the importance of building strong relationships with complex providers, including hospitals and physician groups, to enhance network adequacy and financial performance. With a commitment to value-based care, Molina Healthcare actively engages in contract negotiations and innovative reimbursement models to meet the diverse needs of its members.

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