Manager, Stars Navigator

CVS Health

4d • Remote

About The Position

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary A Brief Overview Designs client-specific and/or cross-functional solutions to address challenges related to Star Ratings performance. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic objectives, to include improved Star Ratings performance and improved organizational effectiveness. What you will do Oversees development of the organization's client-specific government programs action plan to ensure compliance with the Star Ratings program. Assesses the development of Star ratings opportunities, develops strategies, presents recommendations, and implements solutions to improve overall performance. Confers with regional and local account management and sales teams on Star ratings strategies based on clinical intervention services. Assists with support in the resolution of complex Star ratings issues and requests, as well as assessment of program needs to expand existing opportunities. Supports initiatives in collaboration with senior management, stakeholders, and senior individual contributors. Attends ongoing professional development courses staying up-to-date with industry regulations and best practices to ensure the organization's compliance with security regulations in the government program sector. Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development.

Requirements

• 5-7 years work experience in Medicare/Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy
• Adept at problem solving and decision making skills
• Adept at collaboration and teamwork
• Adept at growth mindset (agility and developing yourself and others) skills
• Adept at execution and delivery (planning, delivering, and supporting) skills

Nice To Haves

• Health plan experience
• Familiarity with CMS measurement methodologies and regulatory updates

Responsibilities

• Oversees development of the organization's client-specific government programs action plan to ensure compliance with the Star Ratings program.
• Assesses the development of Star ratings opportunities, develops strategies, presents recommendations, and implements solutions to improve overall performance.
• Confers with regional and local account management and sales teams on Star ratings strategies based on clinical intervention services.
• Assists with support in the resolution of complex Star ratings issues and requests, as well as assessment of program needs to expand existing opportunities.
• Supports initiatives in collaboration with senior management, stakeholders, and senior individual contributors.
• Attends ongoing professional development courses staying up-to-date with industry regulations and best practices to ensure the organization's compliance with security regulations in the government program sector.
• Evaluates performance through regular, timely feedback to ensure delivery of exceptional services and engagement, motivation, and team development.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees