Program Manager, Medicare Stars & Quality Improvement (Remote)
Molina Healthcare Augusta, Georgia; Austin, Texas; Idaho Falls, Idaho; Phoenix, Arizona; New York; Sterling Heights, Michigan; Cleveland, Ohio; Santa Fe, New Mexico; Iowa City, Iowa; Caldwell, Idaho; Orlando, Florida; Provo, Utah; Savannah, Georgia; Houston, Texas; Tacoma, Washington; Michigan; Salt Lake City, Utah; Madison, Wisconsin; Rochester, New York; Meridian, Idaho; Chandler, Arizona; Kenosha, Wisconsin; Cincinnati, Ohio; Miami, Florida; Scottsdale, Arizona; West Valley City, Utah; Wisconsin; New Mexico; Fort Worth, Texas; Tucson, Arizona; Kearney, Nebraska; Atlanta, Georgia; Macon, Georgia; Ann Arbor, Michigan; Orem, Utah; Idaho; Lexington-Fayette, Kentucky; Akron, Ohio; Bowling Green, Kentucky; Columbus, Georgia; Spokane, Washington; Warren, Michigan; Bellevue, Washington; Bellevue, Nebraska; Detroit, Michigan; Grand Island, Nebraska; Kentucky; Vancouver, Washington; Tampa, Florida; Covington, Kentucky; Yonkers, New York; Davenport, Iowa; Ohio; Syracuse, New York; Milwaukee, Wisconsin; Louisville, Kentucky; Buffalo, New York; Sioux City, Iowa; Nampa, Idaho; Nebraska; Omaha, Nebraska; Washington; Florida; Cedar Rapids, Iowa; Racine, Wisconsin; Mesa, Arizona; Owensboro, Kentucky; Boise, Idaho; Green Bay, Wisconsin; St. Petersburg, Florida; Lincoln, Nebraska; Las Cruces, New Mexico; Dayton, Ohio; Georgia; Des Moines, Iowa; San Antonio, Texas; Dallas, Texas; Albany, New York; Everett, Washington; Texas; Roswell, New Mexico; Utah; Iowa; Albuquerque, New Mexico; Grand Rapids, Michigan; Jacksonville, Florida; Layton, Utah; Rio Rancho, New Mexico; Columbus, Ohio Job ID 2031740Job Description
Job Summary
Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality improvement initiatives and education programs. Responsible for Medicare Stars projects and programs involving enterprise, department or cross-functional teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. 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.
Job Duties
- 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.
- Supports Stars program execution and governance needs to communicate, measure outcomes and develop initiatives to improve Star Ratings
- Plans and directs schedules Program initiatives, as well as project budgets.
- Monitors the project from inception through delivery and outcomes measurement.
- May engage and oversee the work of external vendors.
- Focuses on process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program
- Leads and manages team in planning and executing Star Ratings strategies & programs.
- Serves as the Medicare Stars subject matter expert in the functional area and leads programs to meet critical needs.
- Communicates and collaborates with health plans to analyze and transform needs and goals into functional requirements.
- Delivers the appropriate artifacts as needed.
- Works with Enterprise and Health Plan l leaders within the business to provide recommendations on opportunities for process improvements.
- Monitors and tracks key performance indicators, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs
- Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documentations.
- Generate and distribute standard reports on schedule
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree or equivalent combination of education and experience.
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
3-5 years of Medicare Stars Program and Project management experience.
Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs
Operational Process Improvement experience.
Medicare experience.
Experience with Microsoft Project and Visio.
Excellent presentation and communication skills.
Experience partnering with different levels of leadership across the organization.
PREFERRED EDUCATION:
Graduate Degree or equivalent combination of education and experience.
PREFERRED EXPERIENCE:
• 5-7 years of Medicare Stars Program and/or Project management experience.
• Managed Care experience.
• Experience working in a cross functional highly matrixed organization.
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.
Pay Range: $77,969 - $142,549 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time Posting Date: 05/12/2025ABOUT OUR LOCATION
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