Stars and Quality Programs Manager

Honest Health
99d$84,200 - $96,800

About The Position

The Stars and Quality Programs Manager will act as a subject matter expert on Medicare Advantage, MSSP, and ACO REACH quality metrics and performance strategies to drive success on supporting high-quality care for patients in Honest’s partner organizations. The Stars and Quality Programs Manager will be responsible for developing the action plans to help our providers reach their quality goals and implementing the established plans across the field teams and practice partners. The Program Manager will also oversee day-to-day quality relationship with our provider partners, provide quality training to field teams and practice partners, and drive performance in ensuring quality gap closure.

Requirements

  • Bachelor’s degree in health administration, business, or similar field required
  • 3+ years of experience with quality programs such as ACO REACH, MSSP, and STARS required
  • Medicare Advantage experience required
  • Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
  • Ability to manage complex, cross-functional, and enterprise-wide projects that align with the overall Stars workplan
  • Comfortable and experienced with Excel, Word, PPT, Adobe PDFs, experience with downloading reports and documentation from portals and SFTP sites

Nice To Haves

  • Data analytics experience preferred
  • Some travel required, up to 20%

Responsibilities

  • Assist with the design, development and implementation of partner specific quality workplans to ensure optimal performance.
  • Assist with the development and implementation of initiatives to address care gaps, improve patient outcomes, and drive quality performance for each contract.
  • Collaborate with internal team members to ensure optimal Consumer Assessment of Healthcare Provider & Systems/Health Outcome Surveys (CAHPS/HOS) performance.
  • Lead partner meetings with quality performance updates, inform on initiatives, and provide recommendations.
  • Collaborate cross-functionally to ensure the quality team meets deliverables for our partners, communicate risk/known barriers to leadership, and provide guidance to improve measure performance.
  • Monitors key performance indicators (KPIs) and intervene as needed. Escalate issues where performance falls outside of expected levels.
  • Perform other related responsibilities as assigned.

Benefits

  • Competitive Compensation
  • Attractive base salary with performance-based bonuses and rewards
  • 401(k) plan with a generous company match, fully vested from day one
  • Comprehensive Health and Wellness Benefits
  • Flexible health, dental, and vision insurance options tailored to your needs
  • Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants
  • 100% company-paid short-term disability and life insurance
  • Wellness programs and resources to support your physical and mental health
  • Generous paid time off, including vacation, sick leave, and paid holidays annually
  • Two paid volunteer days to support causes you're passionate about
  • Flexible work arrangements to accommodate your lifestyle
  • Robust onboarding program and ongoing training opportunities
  • Reimbursement for role-related continuing education and certifications
  • Paid parental leave for new parents
  • Dependent care flexible spending accounts
  • Support for work-life integration
  • Work alongside professionals who share your commitment to Honest's high-quality, value-based care model
  • Opportunities to contribute to meaningful projects and initiatives
  • Team member recognition programs
  • Team-building events and social activities
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