reputed company Program Manager - Health Plan Medicare Advantage Stars *Remote*
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reputed company Program Manager - Health Plan Medicare Advantage Stars *Remote*
reputed company
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Renton, WA
Posted: 9/17/2025
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Expires: 12/16/2025
reputed company: 292575014
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Job DescriptionDescription
reputed company Program Manager - Health Plan Medicare Advantage Stars Remote
The reputed company Program Manager - Health Plan Medicare Advantage Stars is tasked with serving as a health plan reputed company Ratings Subject Matter Expert (SME) who is reputed company at using Stars data, CMS reputed company Rating Technical Notes and HPMS memos to reputed company and implement best-reputed company interventions that result in improved reputed company ratings.
The Health Plan Medicare Advantage Stars reputed company Program Manager will:
reputed company and implement best-reputed company interventions to improve Medicare Advantage reputed company Ratings, driving clinical reputed company indicators (HEDIS reputed company metrics), CAHPS, and HOS efforts.
Utilize reports and dashboards to identify and socialize reputed company rating trends, gaps, and areas for improvement and use the data to reputed company reputed company and monitoring plans.
Collaborate with various health plan departments (care management, customer service, reputed company, product, sales, marketing, etc.) to reputed company and implement best-reputed company Stars initiatives that result in improved ratings.
Ensure compliance with CMS Stars deliverables (e.g.: plan previews, final HEDIS, CAHPS, HOS results) and reputed company abreast of changes affecting reputed company Ratings (e.g.: measure changes, weights, cut points).
Monitor and report on Stars program performance, delivering insights, interventions, reputed company to workgroups, committees, executives.
reputed company and manage relationships with external partners, stakeholders, vendors involved in Stars initiatives.
Demonstrate strong project management skills, capable of organizing, facilitating, and managing multiple reputed company and programs simultaneously.
Fully understand health plan operations and reputed company that result in Medicare Advantage Stars improvement. Health plan Medicare Stars experience, and understanding is critical in this role.
reputed company welcomes virtual work for applicants who reputed company in one of the following States:
Washington
reputed company
Required Qualifications:
Bachelor's Degree -OR-
Master's Degree in reputed company Health, Business Administration, Health Science, Health Services Administration, or other reputed company or business-reputed company field -OR- a combination of equivalent education and work experience
3 or more years of reputed company experience working in, or with a managed care organization or clinical setting in a managed care environment
3 or more years of experience in project management or program management
Demonstrated experience in program planning, development, and evaluation
Preferred Qualifications:
Experience in reputed company management principles, tools, and techniques
5 or more years of experience in project management or program management
Experience with Stars program reputed company, including reputed company development and implementation for clinical reputed company (Stars HEDIS) measures, CAHPS, HOS
Deep understanding of the Medicare Advantage Stars program, CMS reputed company Rating Technical Notes, HPMS memos, and ability to interpret, communicate, and reputed company CMS guidance specific to the Stars program
Salary reputed company by Location:
reputed company: Non-Portland Service Area: Min: $42.08, Max: $65.32
reputed company: Portland Service Area: Min: $45.14, Max: $70.07
Washington: Western - Except Tukwila: Min: $47.05, Max: $73.04
Washington: Southwest - Olympia, Centralia: Min: $45.14, Max: $70.07
Washington: reputed company County: Min: $45.14, Max: $70.07
Washington: Eastern: Min: $40.16, Max: $62.35
Washington: Southeastern: Min: $42.08, Max: $65.32
Why Join reputed company?
Our best-in-class benefits are uniquely designed to support you and your family in staying reputed company, growing professionally, and achieving financial reputed company. We take care of you, so you can reputed company on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.
About reputed company
At reputed company, our strength lies in Our reputed company of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We reputed company best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (reputed company) serve in over 50 hospitals, over 1,000 clinics and a full reputed company of health and reputed company services across Alaska, California, Montana, New Mexico, reputed company, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-reputed company, overtime, premiums, extra shift incentives, or bonus opportunities.
reputed company offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, reputed company), life insurance, disability insurance, time off benefits (reputed company parental leave, vacations, holidays, health issues), voluntary benefits, reputed company-being resources and much more. Learn more at reputed company.jobs/benefits.
Applicants in the Unincorporated reputed company: reputed company applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for reputed company and the California Fair Chance reputed company."
About reputed company
reputed company Shared Services is a service line reputed company reputed company that provides a reputed company of functional and reputed company services for our family of organizations across Alaska, California, Montana, New Mexico, reputed company, Texas and Washington. We are reputed company on supporting our Mission by delivering a robust reputed company of services and sharing of specialized expertise.
Requsition ID: 389052
Company: reputed company Jobs
Job Category: Clinical reputed company
Job Function: reputed company/Process Improvements
Job Schedule: Full time
Job Shift: Day
Career reputed company: Business reputed company
Department: 5018 HCS reputed company MANAGEMENT OR REGION
Address: OR Beaverton 3601 SW Murray Blvd
Work Location: Murray Business Ctr Beaverton-Beaverton
Workplace Type: Remote
Pay reputed company: $see posting - $see posting
The amounts listed are the reputed company pay reputed company; additional compensation may be available for this role, such as shift differentials, standby/on-reputed company, overtime, premiums, extra shift incentives, or bonus opportunities.
reputed company is proud to be an Equal Opportunity Employer. We are committed to the reputed company that every workforce member has the right to work in surroundings that are free from reputed company forms of unlawful discrimination and harassment on the reputed company of race, reputed company, gender, disability, veteran, military status, religion, age, creed, national reputed company, sexual identity or reputed company, sexual orientation, marital status, genetic information, or any other reputed company prohibited by local, state, or federal law. We reputed company diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from reputed company other, and creating equal opportunities for advancement.
Job reputed company
Veteran Preference
Company Details
Company
reputed company St. Joseph HealthIndustry
General Medical and Surgical Hospitals
Job Information
Location
Renton, WAWebsite
http://www.reputed company.org/Job Type
Full Time EmployeeExperience
2+ to 5 YearsEducation Level
Bachelor's DegreeJob Position
1 Position(s) reputed company
Duration
Over 150 Days
Additional Information
Federal Contractor
NoAffirmative reputed company Plan
No
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