Job Summary:The CAHPS & HOS Program Lead is responsible for execution for the strategy, governance, delivery, and performance of the CAHPS and HOS programs. This position recommends program direction, integrates work across business and technical functions, and ensures that regulatory requirements, consumer insights, operational initiatives, and performance-improvement activities are translated into a coordinated enterprise program.
Essential Functions:- Translate leadership direction into enterprise CAHPS and HOS program strategy, multiyear roadmaps, priorities, performance targets, and integrated portfolio of improvement initiatives.
- Serve as subject-matter expert for CAHPS and HOS requirements, methodologies, performance drivers, survey administration, data structures, and industry practices.
- Translate regulatory requirements, survey results, consumer insights, and operational performance into enterprise strategies, investment recommendations, and measurable improvement plans.
- Provide functional program-level guidance, mentorship, and subject-matter leadership to team members and cross-functional workstream leads, promoting consistent standards and high-quality execution across the CAHPS and HOS portfolio.
- Lead complex, interdependent workstreams across business and technical functions, ensuring alignment of scope, documentation, dependencies, risks, and outcomes.
- Support development of and present program analysis and recommendations and, as appropriate, support communication with executive sponsors, senior leaders, and governance bodies regarding program performance, material risks, strategic options, and resource needs.
- Influence business owners and workstream leads to secure commitments and accountability for agreed-upon actions, milestones, and performance outcomes.
- Support operational vendor governance within established agreements, including performance governance, contract deliverables, data quality, escalations, issue resolution, and service expectations.
- Ensure program documentation, controls, and evidence support Quality, NCQA accreditation, audit, and other applicable regulatory requirements.
- Recommend program priorities and corrective actions when performance, regulatory, or operational objectives are not being met; implement approved actions and monitor outcomes.
- Represent team in program meetings, as appropriate.
- Perform any other job related duties as requested.
Education and Experience:- Bachelor's in health care, patient experience, program management or a related field required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Five (5) years experience working directly with CAHPS, HOS, Stars, or other quality/regulatory programs required
- Five (5) years experience in project or program management, leading complex, cross-functional initiatives required
- Experience in the healthcare industry (e.g., health plan, provider group) required
- Experience with enterprise program governance, vendor governance, strategic planning and roadmap development required
- Demonstrated experience with process improvement methodologies and driving initiatives with measurable outcomes required
- Demonstrated experience with Stars, Quality, and/or NCQA accreditation preferred
- Demonstrated experience in a team lead or mentorship capacity preferred
Competencies, Knowledge and Skills:- Deep knowledge of CAHPS and HOS survey requirements, methodologies, and the drivers of performance
- Strong program management skillset, including the ability to manage scope, schedule, and resources
- Proven ability to interact effectively with all levels of the organization, provide change leadership and gain consensus
- Exceptional written and verbal communication and relationship-building skills
- Knowledge of change management principles and guiding stakeholders through transformation
- A process-driven, adaptable, and agile mindset with a commitment to continuous learning
- Proven ability with Microsoft Office suite, including MS Project, Visio, and SharePoint
- Excellent decision making/problem solving skills
- Excellent critical listening and thinking skills
- Familiarity with AI-enabled tools and emerging technologies
- Bilingual is a plus
Licensure and Certification:- Project Management Professional (PMP) or related certification preferred
Working Conditions:- General office environment; may be required to sit or stand for extended periods of time
- Travel is not typically required
Compensation Range:
$83,000.00 - $132,800.00
CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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