Sr. Manager Medicare Stars Program
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 As the Senior Manager of Stars, you will lead the market-wide strategy, performance improvement, and execution of the Medicare Stars quality program for Allina Health | Aetna Medicare membership in Minnesota. Your goal is to achieve and sustain high Star Ratings across all eligible contracts by driving measurable improvements in clinical quality, member experience, medication adherence, and operational performance. What you will do Provide strategic direction, analytical oversight, and cross-functional leadership to improve health outcomes and program performance. Collaborate with internal teams (HEDIS, Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics, Compliance) to implement evidence-based interventions. Partner with external providers and vendors to close quality gaps and enhance value-based performance. Identify performance gaps, prioritize initiatives, track progress, and proactively manage risks to align with CMS methodologies and regulatory updates. Serve as a strategic thinker and hands-on leader with deep knowledge of CMS Stars (HEDIS, Operations, Patient Safety, CAHPS, HOS). Collect and analyze data, draw actionable insights, and develop improvement strategies.
Requirements
- 7–10 years of experience with Medicare Stars programs.
- Strong analytical and project management skills.
- Proven ability to influence and motivate teams at all levels.
- Skilled in problem-solving, decision-making, and collaboration.
- Growth mindset with agility in developing self and others.
- Expertise in execution and delivery of strategic initiatives.
- Comfortable presenting to and influencing senior leadership.
Nice To Haves
- Health plan experience.
- Familiarity with CMS measurement methodologies and regulatory updates.
Responsibilities
- Provide strategic direction, analytical oversight, and cross-functional leadership to improve health outcomes and program performance.
- Collaborate with internal teams (HEDIS, Clinical Operations, Network, Pharmacy, Product, Member Experience, Data/Analytics, Compliance) to implement evidence-based interventions.
- Partner with external providers and vendors to close quality gaps and enhance value-based performance.
- Identify performance gaps, prioritize initiatives, track progress, and proactively manage risks to align with CMS methodologies and regulatory updates.
- Serve as a strategic thinker and hands-on leader with deep knowledge of CMS Stars (HEDIS, Operations, Patient Safety, CAHPS, HOS).
- Collect and analyze data, draw actionable insights, and develop improvement strategies.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
5,001-10,000 employees
