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Senior Stars Program Manager

MEDICA HEALTH PLANS - Madison, WI

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Job Description

JOB REQUIREMENTS: Description Medica is a nonprofit health plan withmore than a million members that serves communities in Minnesota,Nebraska, Wisconsin, Missouri, and beyond. We deliver personalizedhealth care experiences and partner closely with providers to ensuremembers are genuinely cared for. We're a team that owns our work withaccountability, makes data-driven decisions, embraces continuouslearning, and celebrates collaboration - because success is a teamsport. It's our mission to be there in the moments that matter most forour members and employees. Join us in creating a community of connectedcare, where coordinated, quality service is the norm, and every memberfeels valued. The Senior Program Manager for CMS Part C & D CAHPS(Consumer Assessment of Healthcare Providers and Systems) and HOS(Health Outcomes Survey) is a critical leadership role within Medica'sQuality & Stars organization. This position drives strategy, execution,and performance improvement for CAHPS and HOS measures, which arepivotal to the success of Medica's Medicare Stars Ratings. The rolerequires deep expertise in member experience, survey methodology, andcross-functional program management to influence outcomes across theenterprise. Key Accountabilities: Lead enterprise-wide strategy forCAHPS and HOS performance across Medicare contracts Translate CMS Starsmethodology and cut point trends into actionable insights andimprovement plans Partner with leaders across Quality, Stars, MemberEngagement, Operations, Marketing, and Member Experience to aligninitiatives with Medica's strategic roadmap Manage end-to-end CAHPS andHOS program cycles, including survey preparation, vendor coordination,and post-survey analysis Oversee timelines, deliverables, and compliancewith CMS protocols Develop and maintain dashboards, forecasts, andperformance tracking tools Collaborate with teams across MemberExperience, Population Health, Operations, Health Equity, ProviderQuality, and Communications Facilitate provider engagement strategies toimprove member experience and functional health outcomes Supportinternal and external reporting, including Board updates andprovider-facing materials Monitors and analyzes member experienceindicators and Medicare CAHPS survey results, identify performancedrivers, and lead root cause investigations to ensure goals, objectiveand outcomes are met Monitor year-over-year trends, forecast performanceagainst CMS cut points, and recommend targeted interventions Translatecomplex data into executive-level summaries and strategicrecommendations Works with health plan, providers, and vendors to reviewbest practices, programs, and processes for improvement opportunitiesRequired Qualifications: Bachelor's degree or equivalent workexperience, plus 5 years of work experience beyond degree 5+ years ofexperience... For full info follow application link. Equal OpportunityEmployer including Veterans and Disabled Individuals APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/B20F7FC8660B46A5

Created: 2025-11-26

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