Sr Program Manager, Medicare Stars - Military Veterans
at Molina Healthcare
Job Description
Job Summary
Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education programs to support improved Star Ratings. Responsible for Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful initiatives through the design process to completion and outcomes measurement. Plans and directs schedules as well as program budgets. 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, as week as the application of expertise in a specialized functional field of knowledge.
Job Duties
Leads and 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.
Manages, plana and executes Medicare Star Ratings programs. Assigns and monitors work of program management staff providing support and direction.
Supports Stars program execution and governance needs to communication, measure outcomes and develop initiatives to improve Star Ratings.
Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; 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 improvement.
Works with operational leaders within the business to provide recommendations on opportunities for
process improvements, organizational change management, program management and other processes related to Medicare Star Ratings
Plans and directs schedules 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, programs and initiatives to reflect the value and effectiveness of Stars and Quality improvement programs.
Job Qualifications
REQUIRED EDUCATION:
Bachelors Degree or equivalent combination of education and experience
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
4-6 years of Medicare Stars Program and project management experience
Demonstrated knowledge of and experience with Star Ratings & Quality Improvement programs
Medicare experience
Excellent presentation and communication skills
Experience partnering with different level of leadership across the organization
PREFERRED EXPERIENCE:
7+ years of Medicare Stars Program experience
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Six Sigma Black Belt Certification, ITIL Certification desired
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: $72,370.82 - $126,803.45 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
AZ
Molina believes every person, family and community deserves access to high-quality health care regardless of their situation. Our mission is to deliver effective, reliable and affordable health care to those who need it most. We strive to meet the physical, social and emotional needs of each member and to strengthen the communities we serve.
We do this by offering a holistic, community-based approach designed specifically to meet the individual needs of our members.
What started in 1980 as one clinic in Long Beach, aimed at addressing the disparities in access to quality health care, has grown into 19 health plans across the country. For over 40-years we’ve been improving the lives of our 5.1 million members across the country by pioneering health care services exclusively for those with government-sponsored health care.
As our membership has grown over the years, so has our commitment to the communities we serve. In 2020, we launched the MolinaCares Accord, which makes substantial investments to improve members’ access to health care.