Director, Medicare STARS Program

Location
Virginia Beach, VA
Salary
Competitive
Posted
Sep 24, 2019
Closes
Oct 21, 2019
Ref
128714BR
Function
Other
Industry
Healthcare
Hours
Full Time
Director, Medicare Stars Program has overall responsibility for Optima's Stars performance across Parts C and D and will have annual performance metrics and incentives tied directly to Stars rating result. This role is 100% dedicated to the Stars program, with no shared or split responsibilities. Must intricately understand the Star Ratings Program along with the current market trends in Medicare space. Maintains direct accountability for delivering the performance, reporting, financial or impact analysis, as well as strategic planning and budgets. Oversees the organization of data and program information gathered to support and monitor the performance of the Health Plan's initiatives in accordance with the company requirements and customer expectations. Has comprehensive knowledge and expert understanding of Stars program and Quality to implement and drive the program initiatives and efforts to maintain the high Stars performance across all contracts. The position requires the ability to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress. These functions must be done while also weighing the practical considerations and potential barriers that exist when successfully implementing new initiatives and processes.

Qualifications

Education Level
Bachelor's Level Degree

Experience
Required: Health Insurance Plans - 5 years, Leadership - 3 years

Preferred: None, unless noted in the "Other" section below

License
None, unless noted in the "Other" section below

Skills
Required:

Preferred: None, unless noted in the "Other" section below

Other
Bachelor's degree in health administration or a related field required. Advanced coursework and/or Master's degree desirable. A minimum five (5) years of relevant health insurance industry experience in a Medicare Advantage Stars organization, leading measure-level activity. Knowledge of Stars strategic planning and development of monitoring tools to monitor measure-level activities required for success

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