Program Manager, Medicare Stars & Quality Improvement (Remote)

Position Overview

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.

Key Responsibilities

• 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 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.

Required Qualifications

• Education: Bachelor's Degree or equivalent combination of education and experience.
• Experience Required: 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 Qualifications

• Education: Graduate Degree or equivalent combination of education and experience.
• Experience Required: 5-7 years of Medicare Stars Program and/or Project management experience; Managed Care experience; Experience working in a cross functional highly matrixed organization.

Benefits & Perks

• Benefits: Molina Healthcare offers a competitive benefits and compensation package.