Medica ยท 2 days ago
Senior Stars Program Manager - Medicare
United States
Full-time
Remote
Senior Level
$75K/yr - $129K/yr
5+ years exp
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Responsibilities
Facilitate Strategic Vision & Multi-Year CMS (Centers for Medicare & Medicaid Services) Star Rating Strategy This position supports the design, development, implementation, and evaluation of programs focused on improved CMS (Centers for Medicare & Medicaid Services) Star Ratings.
Creation of an actionable framework around structures to address Stars Rating measures across the enterprise.
Supports regulatory and contractual CMS Medicare/Medicaid Stars requirements for the organization.
Work cross-functionally to facilitate meetings and create project plans that include success metrics, timelines, and milestones to achieve project goals. Organization subject-matter-expert for CMS (Centers for Medicare & Medicaid Services) Stars projects and initiatives.
Collaborates with cross-functional and cross-divisional teams to support the design and execution required to achieve organizational or divisional CMS Stars goals, with an emphasis on Medicare plans.
Develop detailed strategies and workplans, and create forums that foster internal and external collaboration and innovation.
Assess, evaluate and continually report on progress towards CMS Stars measures and impact goals.
Maintain strategic relationships and partner with key resources, internally and externally, to support the Stars program design.
Support Enterprise Stars Strategy Support the business decision-making process to ensure capabilities, systems and processes meet market expectations and that varying approaches are reviewed and analyzed.
Support the ongoing program management work of multiple programs to ensure the strategy aligns with solutions presented.
Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.
Manage multiple communication plans in coordination with leadership and to support initiatives, including status and progress updates.
Qualification
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Required
Bachelor's degree or equivalent experience in related field
5+ years of related professional experience in business, nursing, public health, health sciences, health promotion or related fields
Experience leading cross functional projects in a matrixed role
Experience in process improvement
Demonstrated organizational relationship management skills
Strong critical thinking skills and problem solving/conflict resolution skills
Excellent written and verbal communication skills with strong facilitation, negotiation, and presentation skills, adapting approach as needed
Attention to detail and time management skills
Self-motivated, ability to work independently, and demonstrated ability to work under tight time frames
Knowledge of the health care industry, business segments and products
Proven ability to handle various assignments in a fast-paced and complex business environment
Proven problem solving skills; ability to collect and analyze data, draw relevant conclusions, and devise appropriate courses of action
Previous CMS Stars experience with emphasis on MN Medicaid
Previous Health Plan experience
Benefits
Competitive medical
Dental
Vision
PTO
Holidays
Paid volunteer time off
401K contributions
Caregiver services
Many other benefits to support our employees
Company
Medica
Medica is a company that provides health coverage to meet customers needs for health plan.
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Lisa Erickson
Chief Financial Officer
Mary Quist
Controller
Recent News
2024-10-28
Medical Product Outsourcing
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2024-04-29
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