Director Medicare Stars Strategy

Point32Health • Canton, MA

19h • Hybrid

About The Position

The Director, Medical Stars Strategy is a strategic, action-oriented leader responsible for the overall Medicare Stars strategy, planning, execution, and management of the Stars team. The Director sets and directs the enterprise Stars improvement strategy and develops initiatives that advance clinical quality and member experience goals. Partnering closely with senior leaders across the Medicare Advantage and Enterprise Clinical Strategy businesses, the Director ensures that broader organizational efforts are aligned to accelerate and sustain Stars performance.

Requirements

• Bachelor's degree
• 7+ years of Medicare Advantage and/or Stars experience, or 3+ years in health care consulting with a top tier consulting firm.
• Demonstrated success as a strategic leader who collaborates across multiple business functions and drives change
• Strategic planning
• Executive communication
• Cross-functional leadership
• Clinical operations
• Regulatory compliance
• Data-driven decision making
• Change management

Nice To Haves

• Master's degree, such as an MPH or MBA
• Certification and Licensure

Responsibilities

• Lead the Medicare Stars team, including analytics, program management, and outreach; direct the overall Stars improvement strategy by identifying strategic focus areas, planning and executing initiatives, and allocating and monitoring the program budget
• Collaborate with senior leaders to communicate Stars performance, align priorities, and obtain organization-wide buy-in on new initiatives
• Oversee organization-wide socialization of Medicare Stars program performance and CMS regulatory updates
• Represent the Medicare Stars program in provider Joint Operating Committees, in partnership with the provider team
• Partner with the VP, Medical Affairs on CMS advocacy and planning, and oversee CMS submissions and interactions
• Drive cultural transformation and organization-wide awareness of Medicare Stars
• Lead and influence across a complex matrixed organization without direct authority, building alignment, accountability, and commitment among cross-functional partners to advance enterprise Stars priorities.
• Partner across the organization to expand and enhance the program’s analytic scope, strengthening predictive insights into Star measure performance and the impact of improvement initiatives.
• Maintain a close pulse on Medicare Advantage and Stars market insights, including competitive intelligence and emerging market trends

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

What This Job Offers

• Job Type: Full-time
• Career Level: Director