Stars Initiatives Lead

MCS Healthcare Holdings, LLC (MCS)•San Juan, PR

6d•Onsite

About The Position

Responsible for the metric administration of the Medicare Stars Initiatives and work plans. Monitors initiative progress, collects updates, evaluates results, identifies issues, and escalates risks, ensuring proper documentation in all efforts. Provides recommendations for change and improvement to increase and/or maintain the Stars Ratings performance.

Requirements

Bachelor’s degree preferably in Business Administration, Health Care Administration, Public Health, Project Management, or related field.
At least five (5) years of experience performing role-related tasks such as program or initiative administration and health care analytics.
Spanish – Advanced (comprehensive, writing and verbal)
English – Advanced (comprehensive, writing and verbal)

Nice To Haves

“Proven experience may be replaced by previously established requirements.”

Responsibilities

Maintains Stars initiative workplans and Master Plans, ensuring all initiatives, metrics, ownership, and timelines are accurately documented and updated promptly.
Monitors, analyzes, and evaluates Stars performance metrics and results on an ongoing basis to assess progress toward goals and identify trends, risks, and performance gaps.
Proactively identifies initiatives or measures at risk, documents issues or delays, and escalates findings to the direct supervisor with clear, data-driven recommendations for mitigation.
Requests, reviews, and validates timely updates from initiative and measure owners, seeking clarification or additional information as needed and updating workplans to reflect enhancements, changes, or cancellations.
Evaluates initiative effectiveness and return on investment (ROI), providing actionable insights and recommendations to improve performance or optimize resource utilization.
Provides continuous follow-up, documentation, and reporting on initiative status, outcomes, and resolution of identified issues, ensuring accountability and transparency.
Coordinates and facilitates meetings with measure owners, implementation teams, and stakeholders to review progress, update plans, address risks, and identify alternative solutions.
Prepares and delivers leadership-ready presentations, reports, and analyses for senior management, highlighting key results, risks, and recommendations; prepares meeting minutes and action plans within established timeframes.
Assists in the development, refinement, and documentation of performance metrics used to monitor Stars initiatives and demonstrate outcomes.
Supports strategic planning efforts by participating in planning sessions with internal stakeholders and external consultants to align initiatives, define priorities, and optimize outcomes.
Works closely with the direct supervisor to prepare materials and documentation supporting Stars strategic initiatives, leadership reviews, and decision-making processes.
Follows up on action items and resolutions assigned by the direct supervisor or Stars Leadership, providing timely status updates and ensuring completion of agreed-upon next steps.
Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.