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.
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Molina Healthcare is a FORTUNE 500 company that is focused exclusively on government-sponsored health care programs for families and individuals who qualify for government sponsored health care.
Molina Healthcare contracts with state governments and serves as a health plan providing a wide range of quality health care services to families and individuals. Molina Healthcare offers health plans in Arizona, California, Florida, Idaho, Illinois, Kentucky, Massachusetts, Michigan, Mississippi, Nevada, New Mexico, New York, Ohio, South Carolina, Texas, Utah, Virginia, Washington and Wisconsin. Molina also offers a Medicare product and has been selected in several states to participate in duals demonstration projects to manage the care for those eligible for both Medicaid and Medicare.
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.