Talent.com
Senior Program Manager, Medicare Stars
Senior Program Manager, Medicare StarsNew Mexico Staffing • Albuquerque, NM, US
Senior Program Manager, Medicare Stars

Senior Program Manager, Medicare Stars

New Mexico Staffing • Albuquerque, NM, US
1 day ago
Job type
  • Full-time
Job description

Molina Medicare Stars Sr Program Manager

Molina Medicare Stars Sr Program Manager functions support 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 well 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, plans, 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 : Bachelor's 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 levels 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 : $80,412 - $188,164 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
  • Create a job alert for this search

    Senior Program Manager • Albuquerque, NM, US

    Related jobs
    Program Manager, Medicare Stars & Quality Improvement

    Program Manager, Medicare Stars & Quality Improvement

    New Mexico Staffing • Albuquerque, NM, US
    Full-time
    Molina Medicare Stars Program Manager.Molina Medicare Stars Program Manager functions oversee, plan and implement new and existing health care quality improvement initiatives and education programs...Show more
    Last updated: 1 day ago • Promoted
    RN - CASE MANAGER SUPERVISOR

    RN - CASE MANAGER SUPERVISOR

    University of New Mexico - Hospitals • Sandia Park, NM, US
    Full-time
    Relocation Assistance Available.Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations....Show more
    Last updated: 30+ days ago • Promoted
    Program Manager, Healthcare Services (Must Reside in New Mexico)

    Program Manager, Healthcare Services (Must Reside in New Mexico)

    New Mexico Staffing • Rio Rancho, NM, US
    Full-time
    Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation, and support, and ensuring compliance ...Show more
    Last updated: 1 day ago • Promoted
    Program Manager

    Program Manager

    University of New Mexico • Albuquerque, NM, US
    Full-time
    The Accelerating Resilience Innovations in Drylands (ARID) Institute is actively hiring for a Program Manager to manage and support the newly funded FOR-NM (Forest Research for New Mexico Water and...Show more
    Last updated: 30+ days ago • Promoted
    Program Manager (Mgr Programs 2) - 25635

    Program Manager (Mgr Programs 2) - 25635

    Clearance Jobs • Albuquerque, NM, US
    Full-time
    This opportunity resides with All-Domain Operations (ADO), a business group within HII's Mission Technologies division.All-Domain Operations comprises multi-domain operations, platforms and logisti...Show more
    Last updated: 27 days ago • Promoted
    RN CASE MANAGER

    RN CASE MANAGER

    University of New Mexico - Hospitals • Cedar Crest, NM, US
    Full-time
    Relocation Assistance Available.Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials.Compensation for this role is based on a number of factors, including but not ...Show more
    Last updated: 30+ days ago • Promoted
    Therapy Team Leader

    Therapy Team Leader

    Encompass Health • Placitas, NM, US
    Full-time
    Occupational Therapy Team Leader Career Opportunity.Must Hold Occupational Therapy License.Lead with Purpose in Occupational Therapy. Seeking a career transcending the ordinary? Join Encompass Healt...Show more
    Last updated: 23 days ago • Promoted
    Manager, Clinical Care Services

    Manager, Clinical Care Services

    New Mexico Staffing • Albuquerque, NM, US
    Full-time
    Manager, Clinical Care Services.Responsible for the management, direct supervision and coordination of clinical and / or nonclinical management staff, including utilization management and intensive c...Show more
    Last updated: 1 day ago • Promoted
    Program Manager (Health Plan Liaison team)

    Program Manager (Health Plan Liaison team)

    New Mexico Staffing • Rio Rancho, NM, US
    Full-time
    Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.Plans ...Show more
    Last updated: 1 day ago • Promoted
    Physical Therapist

    Physical Therapist

    Encompass Health • Edgewood, NM, US
    Full-time +1
    Physical Therapist Career Opportunity - PRN.Join a Team That Puts Your Passion for Care First.Are you seeking a fulfilling career that feels like home and lets you make a meaningful impact? At Enco...Show more
    Last updated: 23 days ago • Promoted
    Senior Program Manager

    Senior Program Manager

    Clearance Jobs • Albuquerque, NM, US
    Full-time
    We are seeking a highly skilled Program Manager to lead a mission-critical IT security program supporting a Federal Government environment. The ideal candidate will have a strong background in IT pr...Show more
    Last updated: 30+ days ago • Promoted
    Physical Medicine and Rehabilitation Doctor - Albuquerque NM

    Physical Medicine and Rehabilitation Doctor - Albuquerque NM

    MRG Exams • Cedar Crest, NM, US
    Full-time +1
    MRG Exams is a premier provider of independent medical examinations, dedicated to supporting United States Veterans through the VA's disability benefits process. Our mission is to deliver thorough, ...Show more
    Last updated: 1 day ago • Promoted
    Senior Program Manager, Medicare Stars

    Senior Program Manager, Medicare Stars

    New Mexico Staffing • Rio Rancho, NM, US
    Full-time
    Molina Medicare Stars Sr Program Manager.Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement initiatives and education pro...Show more
    Last updated: 1 day ago • Promoted
    Program Manager (Clinical Systems)

    Program Manager (Clinical Systems)

    New Mexico Staffing • Rio Rancho, NM, US
    Full-time
    Care Management System Product Owner.This position is the product owner for the Care Management system.Responsible for internal business projects and programs involving clinical systems department ...Show more
    Last updated: 1 day ago • Promoted
    Lead with Purpose in Occupational Therapy

    Lead with Purpose in Occupational Therapy

    Encompass Health • Sandia Park, NM, US
    Full-time
    Occupational Therapy Team Leader Career Opportunity.Must Hold Occupational Therapy License.Lead with Purpose in Occupational Therapy. Seeking a career transcending the ordinary? Join Encompass Healt...Show more
    Last updated: 23 days ago • Promoted
    Program Manager, Healthcare Services - Clinical Systems

    Program Manager, Healthcare Services - Clinical Systems

    New Mexico Staffing • Albuquerque, NM, US
    Full-time
    Healthcare Services Program Manager.Provides subject matter expertise and leadership to healthcare services function - providing support for project / program / process design, execution, evaluation an...Show more
    Last updated: 1 day ago • Promoted
    Program Manager (Mgr Programs 2) - 25635

    Program Manager (Mgr Programs 2) - 25635

    New Mexico Staffing • Albuquerque, NM, US
    Full-time
    Program Manager Opportunity At Hii-Mission Technologies.This opportunity resides with All-Domain Operations (ADO), a business group within HII's Mission Technologies division.All-Domain Operations ...Show more
    Last updated: 1 day ago • Promoted
    Program Manager

    Program Manager

    Community Options, Inc. • Albuquerque, NM, US
    Full-time
    We are actively seeking an experienced .The Program Manager leads a team to provide person-centered care tailored to meet the needs of individuals with intellectual and developmental disabilities.T...Show more
    Last updated: 30+ days ago