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Company

MVP Health Care · 14 hours ago

Professional, Medicare Stars Quality Program Manager

Rochester, NY

Full-time

Remote

Mid Level

$56K/yr - $99K/yr

3+ years exp

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Responsibilities

Managing processes to improve strategic planning and prioritization efforts that will result in year over year improvement of clinical outcomes and 5 Star Medicare goals.

Assist in building and maintaining strong collaborative relationships across departments.

Support Medicare Stars by leading workgroups of cross functional teams, assist in maintaining and monitoring workplan to achieve departmental goals,

Managing Medicare Stars Quality vendor relationships

Drive continuous process improvement and innovation, and helping to identify, promote, and drive activities that support Medicare Stars improvement.

Ensuring that business users can access the information needed to perform their respective roles. Providing user support, documentation, and training as needed.

Communicating with management on status of projects including resource gaps and needs.

Overseeing Medicare Stars Quality communications throughout MVP

Monitoring the external environment related to Medicare Stars Quality improvement and innovations.

Supporting Leader/ Medicare Stars, Senior Director/ Director, Quality VP in developing and implementing strategies to drive the organization to be a 5-star plan.

Supporting HEDIS processes and requirements as needed

Supporting departmental quality innovation efforts as needed

Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medicare StarsQuality ImprovementHEDISHealthcare OperationsProject Management

Required

Bachelor's degree in business administration, Analytics or Health Sciences/Services related degree strongly preferred with 3 - 5 years' experience in Medicare Stars in a managed care environment or healthcare industry.

Demonstrated experience managing multiple projects at once while achieving desired results required.

Possess strong planning skills with the ability to effectively prioritize of tasks, projects, etc. in a dynamic environment.

Possess strong analytical skills with detailed knowledge of healthcare operations and datasets.

Team oriented: Comfortable working in a team environment as well as independently and possess a sense of accountability and urgency in completing assignments.

Curiosity to foster innovation and pave the way for growth.

Humility to play as a team.

Commitment to being the difference for our customers in every interaction.

Preferred

Experience in Quality Improvement and/or with HEDIS strongly preferred.

Benefits

Growth opportunities to uplevel your career

A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team

Competitive compensation and comprehensive benefits focused on well-being

An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work for and one of the Best Companies to Work For in New York