项目经理，Medicare Stars与质量改进（南卡罗来纳州远程）
Program Manager, Medicare Stars & Quality Improvement (Remote in South Carolina
职位描述
职位概述
为Medicare Stars质量改进（QI）项目和活动提供专业领域专业知识和领导力。在规划和实施QI计划和教育项目方面提供专业知识，以支持提高Medicare Stars评分。负责领导和管理涉及企业、部门、跨职能团队和健康计划专家的Medicare Stars项目和计划，通过设计流程到完成及结果评估，交付有影响力的质量改进计划。
主要工作职责
- 与跨职能的企业和健康计划团队合作，开发和实施企业范围内的Medicare Stars质量改进（QI）项目和计划。
- • 管理、计划并执行Medicare Star评分项目。
- • 支持Stars项目执行和治理需求；进行沟通、结果测量并制定计划以提高Stars评分。
- • 作为Medicare Stars的专业领域专家，为企业的职能部门/健康计划提供支持，并领导计划以满足关键需求。
- • 与健康计划和Stars指标负责人进行沟通与协作，分析并转化需求和目标为功能要求，以最大化改进机会。
- • 领导健康计划管理层讨论，为Medicare Stars改进提供建议、绩效结果和机会评估。
- • 与业务中的运营领导者合作，就流程改进、组织变革管理、项目管理和其他与Medicare Star评分相关的流程提供建议。
- • 推动流程改进、组织变革管理、项目管理和其他与Medicare Stars项目相关的流程。
- • 计划和指导项目计划的时间表以及项目预算。
- • 制定、定义并执行计划、时间表和交付物；从启动到交付再到结果评估监控项目。
- • 监控和跟踪关键绩效指标（KPI）、项目和计划，以反映Stars和QI项目的价值和效果。
- • 编写业务需求文档、测试计划、需求可追溯性矩阵、用户培训材料和其他相关文档。
- • 从项目启动到交付及结果评估监控项目。
- • 可能参与
查看英文原文
JOB DESCRIPTION Job Summary Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.
Essential Job Duties
- Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise.
- • Manages, plans and executes Medicare Star ratings programs.
- • Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.
- • Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and 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 Medicare Stars improvement.
- • Collaborates 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.
- • Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.
- • Plans and directs schedules for 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 (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.
- • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documents.
- • Monitors projects from inception through delivery and outcomes measurement.
- • May engage and oversee the work of external vendors.
- • Generates and distributes quality improvement/Medicare Stars standard reports timely.
Required Qualifications
- At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.
- • Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.
- • Advanced knowledge of the quality discipline, including metrics and performance standards.
- • Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
- • Experience developing performance measures that support business objectives.
• Solid business writing experience.
• Strong strategic-thinking skills.
- Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
- • Critical-thinking, problem-solving and analytical skills.
- • Attention to detail and organizational skills.
- • Ability to implement process improvement initiatives and drive change.
- • Ability to work independently in a fast-paced, deadline-driven environment.
- • Ability to work in a cross-functional highly matrixed organization.
- • Strong project management experience.
- • Excellent verbal, written, and presentation communication skills.
- • Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
Preferred Qualifications
- Strong Medicare Stars/quality improvement (QI) program experience.
• Six Sigma Black Belt Certification.
- ITIL (Information Technology Infrastructure Library) certification.
- • Experience in leading significant cross-functional work.
- • Strong project management experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Originally posted on Himalayas