There’s no place like Liberty Health
Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!
We are currently seeking an experienced:
PROGRAM MANAGER – MEDICARE STARS
Full Time, Days
JOB SUMMARY:
- Accountable for the success of end-to-end Stars strategy and performance to include HOS, CAHPS, and HEDIS performance
- Knowing and understanding CMS regulations that govern the STAR Rating System
- Actively monitor changes to CMS or other regulatory guidelines impacting metrics, weighting and/or measurement of STAR metrics and plan enhancement actions to accommodate those changes
- Leading and implementing quality improvement initiatives aimed at enhancing STAR ratings from design to completion
- Collaborating with operational leaders to analyze needs, develop strategies, and monitor program performance
- Manage vendor relationships to increase quality and efficiencies for Risk Adjustment strategies
- Direct and oversee Risk Adjustment strategy and internal/external audit preparation
- Lead, coach, and instruct process owners in optimizing programs through Member and Provider Engagement initiatives
- Lead and implement performance analytics to identify areas of opportunity and measure performance
- Monitor, track, and communicate STARS-related Key Performance Indicator (KPI) outcomes, to demonstrate and elevate the effectiveness of the plan’s STAR Rating Program.
JOB REQUIREMENTS:
- Bachelor’s Degree, required
- A minimum of 3 years Medicare Stars experience, preferred
- Experience with analytics in a healthcare setting
- Experience working with regulatory agencies and compliance environment with practical knowledge of Medicare regulations
- Experience coordinating and managing multiple projects and initiatives simultaneously
- Leadership experience: demonstrated ability to lead initiatives, projects, team members to accomplish successful outcomes.
- Advanced Microsoft Excel skills
- Must have valid state driver's license and auto insurance
- Must reside in North Carolina or be willing to relocate to the area
- Must be willing and able to travel to complete on-site visits with brokers, providers, and vendors
- Working knowledge of relevant federal and state regulations and requirements
- Prior experience in public speaking and conducting presentations
- Prior experience in the managed care industry
- Prior experience with medical, life insurance and dental product positioning
- Exceptional interpersonal skills
Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.
PI270814179
