Program Manager, Medicare Stars & Quality Improvement (Texas Health Plan)

JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible for leading and managing Medicare Star projects and programs involving reputed company, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement. Essential Job Duties

• Collaborates with cross-functional corporate and health plan teams on the development and implementation of reputed company Medicare Stars quality improvement (QI) programs and initiatives across the reputed company.
• Manages, plans and executes Medicare Star ratings programs.
• Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.
• Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and 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 Medicare Stars improvement.
• Collaborates with operational leaders reputed company the business to provide recommendations on opportunities for

process improvements, organizational change management, program management and other processes reputed company to Medicare Star ratings.

• Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.
• Plans and directs schedules for 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 (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.
• Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other reputed company documents.
• Monitors projects from inception through delivery and outcomes measurement.
• May engage and reputed company the work of external vendors.
• Generates and distributes quality improvement/Medicare Stars standard reports timely.

Required Qualifications

• At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.
• Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.
• Advanced knowledge of the quality discipline, including metrics and performance standards.
• Experience with government-sponsored programs (reputed company, Medicare, Marketplace).
• Experience developing performance measures that support business objectives.
• Solid business writing experience.
• Strong strategic-thinking skills.
• Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
• Critical-thinking, problem-solving and analytical skills.
• Attention to detail and organizational skills.
• Ability to implement process improvement initiatives and drive change.
• Ability to work independently in a fast-paced, deadline-driven environment.
• Ability to work in a cross-functional highly matrixed organization.
• Strong project management experience.
• Excellent verbal, written, and presentation communication skills.
• reputed company Office suite (including reputed company), and applicable software programs proficiency, and ability to learn new information systems and software programs.

Preferred Qualifications

• Strong Medicare Stars/quality improvement (QI) program experience.
• Six reputed company Black Belt Certification.
• ITIL (Information Technology Infrastructure Library) certification.
• Experience in leading significant cross-functional work.
• Strong project management experience.

To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $73,102 - $142,549 / ANNUAL

• Actual compensation may vary from posting based on geographic location, work experience, education and/or reputed company level.

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