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Medicare Stars Program Manager
Medicare Stars Program ManagerBlue Cross of Idaho • Meridian, ID, US
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Medicare Stars Program Manager

Medicare Stars Program Manager

Blue Cross of Idaho • Meridian, ID, US
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  • [job_card.full_time]
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Medicare Stars Program Manager

Blue Cross of Idaho is seeking a Medicare Stars Program Manager to lead program governance and drive quality improvement initiatives that support our organization's Star rating goals. This role requires strong collaboration across multidisciplinary teams, vendor oversight, and strategic execution of initiatives that enhance member and provider experiences through education and quality strategies.

This role allows for a flexible hybrid schedule (onsite Meridian Idaho campus, and work-from-home). Reports to the Director, Medicare Stars Program.

Why Join Us?

This is an exciting opportunity to make a measurable impact on organizational performance and member outcomes. You'll work in a dynamic environment with cross-functional teams dedicated to excellence and innovation.

Key Responsibilities

  • Serve as a subject matter expert on the Medicare Stars Program, providing guidance on technical specifications, timelines, and performance measures.
  • Develop and monitor key performance indicators (KPIs) and maintain measure tracking in alignment with the Stars dashboard.
  • Manage vendor contracting, oversight, and performance.
  • Collaborate with internal teams and measure owners to ensure alignment with program objectives.
  • Deliver executive-level updates and presentations to leadership on a monthly basis.
  • Ensure compliance with organizational policies and CMS regulations.
  • Perform additional duties as assigned.

Qualifications

Required :

  • Experience : Minimum 5 years in healthcare or health insurance; quality-focused experience preferred.
  • Education : Bachelor's degree or equivalent work experience (two years of relevant experience equals one year of college).
  • Preferred :

  • Knowledge of Medicare Stars ratings, CMS regulations, and compliance requirements.
  • Experience with contract and / or project management.
  • Understanding of pharmacy and drug benefit programs.
  • As of the date of this posting, a good faith estimate of the current pay range is $106,762 to $160,144. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

    We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical / dental / vision / pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program. We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

    Reasonable accommodations

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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