Senior Stars Program Manager - Medicare

Responsible for the strategy, roadmap, implementation and maintenance of an assigned Health Services program.

Key Accountabilities

Facilitate Strategic Vision & Multi-Year CMS (Centers for Medicare & Medicaid Services) Star Rating Strategy

• This position supports the design, development, implementation, and evaluation of programs focused on improved CMS (Centers for Medicare & Medicaid Services) Star Ratings.
• Creation of an actionable framework around structures to address Stars Rating measures across the enterprise.
• Supports regulatory and contractual CMS Medicare/Medicaid Stars requirements for the organization.

Work cross-functionally to facilitate meetings and create project plans that include success metrics, timelines, and milestones to achieve project goals.

• Organization subject-matter-expert for CMS (Centers for Medicare & Medicaid Services) Stars projects and initiatives.
• Collaborates with cross-functional and cross-divisional teams to support the design and execution required to achieve organizational or divisional CMS Stars goals, with an emphasis on Medicare plans.
• Develop detailed strategies and workplans, and create forums that foster internal and external collaboration and innovation.
• Assess, evaluate and continually report on progress towards CMS Stars measures and impact goals.
• Maintain strategic relationships and partner with key resources, internally and externally, to support the Stars program design.

Support Enterprise Stars Strategy

• Support the business decision-making process to ensure capabilities, systems and processes meet market expectations and that varying approaches are reviewed and analyzed.
• Support the ongoing program management work of multiple programs to ensure the strategy aligns with solutions presented.
• Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.
• Manage multiple communication plans in coordination with leadership and to support initiatives, including status and progress updates.

Qualifications

• Bachelor's degree or equivalent experience in related field
• 5+ years of related professional experience in business, nursing, public health, health sciences, health promotion or related fields

Skills and Abilities

• Experience leading cross functional projects in a matrixed role.
• Experience in process improvement.
• Demonstrated organizational relationship management skills.
• Strong critical thinking skills and problem solving/conflict resolution skills.
• Excellent written and verbal communication skills with strong facilitation, negotiation, and presentation skills, adapting approach as needed.
• Attention to detail and time management skills.
• Self-motivated, ability to work independently, and demonstrated ability to work under tight time frames.
• Knowledge of the health care industry, business segments and products.
• Proven ability to handle various assignments in a fast-paced and complex business environment.
• Proven problem solving skills; ability to collect and analyze data, draw relevant conclusions, and devise appropriate courses of action.
• Previous CMS Stars experience with emphasis on MN Medicaid.
• Previous Health Plan experience.

This position is a Remote role and will work remotely 100% of the time. To be eligible for consideration, candidates must have a primary home address located within any state where Medica is registered as an employer - AR, AZ, FL, GA, IA, IL, KS, KY, MD, ME, MI, MN, MO, ND, NE, OK, SD, TN, TX, VA, WI.

The full salary range for this position is $75,300 - $129,000. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, 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.