Professional, Medicare Stars Quality Program Manager

Over 35 years strong and fueled by 1,700 smart, passionate employees across New York state and Vermont, MVP is full of opportunities to grow. We are a nationally recognized, award-winning leader for a reason. The beating heart of our company is a wide range of employees from a diverse set of backgrounds-tech people, numbers people, even people people-working together to make health insurance better. If you are ready to join a thriving, mission-driven company where you can create your own opportunities and make a positive difference-it's time to make a healthy career move to MVP!

Status: Full Time, Exempt

MVP's Quality department focuses on improving the clinical well-being of MVP members by focusing on improving key metrics of care. The Quality department is seeking a fast paced, organized, and driven candidate for the position of Medicare Stars Quality Program Manager. This position will direct report to the Leader, Medicare Stars Quality Performance & Initiatives and will support program-level activities to ensure the goals are achieved. Achieves Medicare Stars objectives by supporting planning and monitoring, understanding program requirements; preparing and completing action plans; resolving problems; identifying trends; determining improvement areas; and implementing change. Represents Medicare Stars Quality on corporate level initiatives and will identify cross-project dependencies to proactively mitigate, as necessary. The candidate should be analytical and comfortable with technology, able to capture Medicare Stars business requirements and liaison with technical and analytical teams across the organization. The candidate should be an independent thinker, curious, a strong collaborator, have excellent organizational skills and an ability to prioritize multiple demands in an aggressive paced environment.

Specifically, this candidate will be responsible for:

• 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

Minimum Education:

Bachelor's degree in business administration, Analytics or Health Sciences/Services related degree strongly preferred. Candidates who possess an Associate's degree with the equivalent combination of related experience may also be considered.

Minimum Experience:

• 3 - 5 years' experience in Medicare Stars in a managed care environment or healthcare industry preferred.

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

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

• Familiarity with NCQA quality submission requirements strongly preferred.

• Project Management experience highly preferred

• Technical and analytics highly preferred.

Required Skills:

• 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.

• Demonstrated proficiency of Microsoft Office (Excel, Word, PowerPoint, Outlook, and Teams)

• Excellent oral and written communications and interpersonal skills required, and the ability to interact with most levels of business, technical and end users.

• Keen attention to detail.

• Ability to multi-task, problem solve and work independently and collaboratively.

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

About MVP

MVP Health Care is a nationally recognized, not-for-profit health insurer caring for members in New York and Vermont. Committed to the complete well-being of our members and the communities we serve, MVP makes health insurance more convenient, more supportive, and more personal. We are powered by the ideas and energy of more than 1,700 diverse employees from all backgrounds, committed to having a positive impact on the health and wellness of everyone we serve.

At MVP, we are committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. Specific employment offers and associated compensation will be made individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.

In addition, we offer a comprehensive benefits package that includes:

• Considerable paid time away from work including PTO (Paid Time Off), sick time, service time off, paid holidays, and floating holidays, allowing you to take time off when it suits you best.

• Competitive 401(k) employer matching and profit-sharing program to help you save for your retirement.

• Low premium health benefits including medical, dental, and vision coverage to support your well-being and that of your family.

• Life insurance and disability coverage to ensure financial security for you and your dependents.

• An array of optional benefit plans such as accident insurance and specified disease coverage to protect you from the unexpected.

• Full tuition reimbursement (up to the IRS limit) for approved courses and programs that support continuous learning.

• A best-in-class employee Well-Being program to support all dimensions of your health and wellness.

MVP Health Care analyzes the latest market data to determine employee compensation. Compensation figures listed in a job posting are subject to change as new market data becomes available. The salary range, other compensation, and benefits information is accurate as of the date of this posting. MVP Health Care reserves the right to modify this information at any time, subject to applicable law. More detailed information about totalcompensation and benefits will be provided during the hiring process.

MVP Health Care is an Affirmative Action/ Equal Employment Opportunity (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), and the Know your Rights protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com

Please apply and learn more - including how you may become a proud member of our team.

Other details

• Job Family Medical Management/Clinical

• Pay Type Salary

• Min Hiring Rate $56,200.00

• Max Hiring Rate $110,319.00

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