Program Manager

Our client is seeking a dedicated Program Manager to join their team. This role is open to both fully remote and local candidates, with the potential for contract extension. The successful candidate will be responsible for the design, development, implementation, and evaluation of programs focused on improving CMS (Centers for Medicare & Medicaid Services) Star Ratings.

Key Responsibilities:

• Develop detailed strategies and work plans to influence operational change and performance for assigned Star measures.
• Drive the development and documentation of design, requirements, and key milestones of required tactics to support increased and sustained Star ratings.
• Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design.
• Support the business decision-making process to ensure capabilities, systems, and processes meet market expectations.
• Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.
• Stay abreast of changes in the rapidly evolving health care marketplace, including CMS regulatory changes.
  
  
  

Preferred Qualifications:

• Bachelor's and/or master's degree in business, nursing, public health, health sciences, health promotion, or related field.
• Strong knowledge working with CMS Star Ratings measures and experience with the Medicare population.
• Previous health plan experience.
• Experience in process improvement and driving clinical measures.
• Experience working in/with diverse racial or ethnic groups and nations.
  
  
  

Required Skills and Experiences:

• 5+ years of related professional experience.
• Demonstrated organizational relationship management skills.
• Ability to thrive in ambiguity.
• Strong critical thinking skills and problem-solving/conflict resolution skills.
• Excellent written and verbal communication skills with strong facilitation, negotiation, and presentation skills.
• Knowledge of the health care industry, payer business models, business segments, and products.
  
  
  

Our client values diversity and is committed to creating an inclusive environment for all team members. All relevant experience, including work, education, transferable skills, and military experience, will be considered.