Medicare Stars Program Manager jobs in United States
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Blue Cross of Idaho · 10 hours ago

Medicare Stars Program Manager

positionMeridian, ID
timeFull-time
remoteHybrid
seniorityMid, Senior Level
money$107K/yr - $160K/yr
date5+ years exp

Blue Cross of Idaho is seeking a Medicare Stars Program Manager to lead program governance and drive quality improvement initiatives that support our organization’s Star rating goals. This role requires strong collaboration across multidisciplinary teams and strategic execution of initiatives that enhance member and provider experiences.

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Comp. & Benefits

Responsibilities

Serve as a subject matter expert on the Medicare Stars Program, providing guidance on technical specifications, timelines, and performance measures
Develop and monitor key performance indicators (KPIs) and maintain measure tracking in alignment with the Stars dashboard
Manage vendor contracting, oversight, and performance
Collaborate with internal teams and measure owners to ensure alignment with program objectives
Deliver executive-level updates and presentations to leadership on a monthly basis
Ensure compliance with organizational policies and CMS regulations
Perform additional duties as assigned

Qualification

Medicare Stars ProgramCMS regulationsContract managementHealthcare experienceProject managementQuality improvementVendor oversightPharmacy programs

Required

Experience: Minimum 5 years in healthcare or health insurance; quality-focused experience preferred
Education: Bachelor's degree or equivalent work experience (two years of relevant experience equals one year of college)

Preferred

Knowledge of Medicare Stars ratings, CMS regulations, and compliance requirements
Experience with contract and/or project management
Understanding of pharmacy and drug benefit programs

Benefits

Paid time off
Paid holidays
Community service and self-care days
Medical/dental/vision/pharmacy insurance
401(k) matching and non-contributory plan
Life insurance
Short and long term disability
Education reimbursement
Employee assistance plan (EAP)
Adoption assistance program
Paid family leave program

Company

Blue Cross of Idaho

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Blue Cross of Idaho operates as a health insurance company.
dateFounded in 1945
location
Meridian, Idaho, USA
people-size1001-5000 employees
web-link
https://www.bcidaho.com/

Funding

Current Stage
Late Stage

Leadership Team

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Sameer Sonalkar
SVP & CIO, Blue Cross of Idaho
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