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CVS Health · 1 day ago

Sr. Manager Medicare Stars Program

Minneapolis, MN

Full-time

Onsite

Senior Level

$83K/yr - $183K/yr

7+ years exp

CVS Health is the nation’s leading health solutions company, focused on transforming health care for consumers. The Senior Manager of Stars will lead the strategy and execution of the Medicare Stars quality program, aiming to improve clinical quality, member experience, and operational performance.

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Responsibilities

Provide strategic direction, analytical oversight, and cross-functional leadership to improve health outcomes and program performance

Collaborate with internal teams (HEDIS, Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics, Compliance) to implement evidence-based interventions

Partner with external providers and vendors to close quality gaps and enhance value-based performance

Identify performance gaps, prioritize initiatives, track progress, and proactively manage risks to align with CMS methodologies and regulatory updates

Serve as a strategic thinker and hands-on leader with deep knowledge of CMS Stars (HEDIS, Operations, Patient Safety, CAHPS, HOS)

Collect and analyze data, draw actionable insights, and develop improvement strategies

Qualification

Medicare Stars programsAnalytical skillsProject managementHealth plan experienceCMS measurement methodologiesInfluencing senior leadershipProblem-solvingDecision-makingCollaborationGrowth mindset

Required

7–10 years of experience with Medicare Stars programs

Strong analytical and project management skills

Proven ability to influence and motivate teams at all levels

Skilled in problem-solving, decision-making, and collaboration

Growth mindset with agility in developing self and others

Expertise in execution and delivery of strategic initiatives

Comfortable presenting to and influencing senior leadership

Preferred

Health plan experience

Familiarity with CMS measurement methodologies and regulatory updates

Bachelor's degree preferred or equivalent professional training/qualifications

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.