ZipRecruiter

Log In

1

Medicare Stars Program Manager Jobs (NOW HIRING)

CYNET SYSTEMS

Data Analyst Snowflake

South Windsor, CT · On-site

$47 - $52/hr

Dashboard and reporting support. * Healthcare and Medicare STARS data analysis. * Documentation and data lineage management. Founded in 2010 and headquartered in the Washington, DC metro area, Cynet ...

Lumeris

VP, Quality and Stars Strategy

Saint Louis, MO · On-site

... Strategy, and Medicare Stars (HEDIS) program, driving market-leading performance through ... Partner with network management to inform the design of provider-facing programs and incentives ...

Lumeris

VP, Quality and Stars Strategy

Saint Louis, MO · On-site

... Strategy, and Medicare Stars (HEDIS) program, driving market-leading performance through ... Partner with network management to inform the design of provider-facing programs and incentives ...

next page

Showing results 1-20

People also search for

All JobsMedicare Stars Program JobsMedicare Stars Program Manager Jobs

Medicare Stars Program Manager information

See salary details

$29K

$89.7K

$131K

How much do medicare stars program manager jobs pay per year?

As of Jun 6, 2026, the average yearly pay for medicare stars program manager in the United States is $89,734.00, according to ZipRecruiter salary data. Most workers in this role earn between $71,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What are some common challenges faced by a Medicare Stars Program Manager, and how can they be addressed?

A Medicare Stars Program Manager often encounters challenges such as coordinating cross-functional teams, interpreting complex CMS regulations, and maintaining high performance across all Star Rating measures. Success in this role requires strong project management skills, effective communication with clinical and operational departments, and a proactive approach to identifying performance gaps. Building robust data tracking systems and fostering a culture of continuous quality improvement can help address these challenges and drive better outcomes for the organization.

What is the difference between Medicare Stars Program Manager vs Medicare Data Analyst?

AspectMedicare Stars Program ManagerMedicare Data Analyst
Required CredentialsBachelor's degree, experience in healthcare or insurance, knowledge of CMS guidelinesBachelor's degree in data analysis, statistics, or related field; proficiency in data tools
Work EnvironmentHealthcare organizations, insurance companies, government agenciesData-focused roles within healthcare or insurance sectors
Employer & Industry UsageUsed to oversee quality ratings and performance metricsUsed to analyze Medicare data for reporting and insights

The Medicare Stars Program Manager focuses on managing quality improvement initiatives and performance ratings within Medicare, requiring project management and healthcare knowledge. In contrast, the Medicare Data Analyst primarily analyzes Medicare data to support decision-making. Both roles require healthcare industry familiarity but differ in their focus—program management versus data analysis.

What are the key skills and qualifications needed to thrive as a Medicare Stars Program Manager, and why are they important?

To thrive as a Medicare Stars Program Manager, you need expertise in healthcare quality improvement, data analysis, regulatory compliance, and a relevant degree in healthcare administration or a related field. Familiarity with CMS Star Ratings, HEDIS, CAHPS, and proficiency in data reporting tools like SAS or SQL are typically required. Strong project management, leadership, and cross-functional communication skills help drive performance improvements and stakeholder engagement. These skills ensure successful navigation of complex CMS requirements, ultimately enhancing plan ratings and patient outcomes.

What is a Medicare Stars Program Manager?

A Medicare Stars Program Manager is a professional responsible for overseeing and improving a healthcare organization's performance on the Centers for Medicare & Medicaid Services (CMS) Star Rating system. This role involves analyzing quality measures, coordinating initiatives to enhance patient care, and ensuring compliance with CMS regulations. The Program Manager works closely with clinical teams, data analysts, and leadership to develop strategies that improve patient outcomes and increase the organization's Star Rating, which can impact reimbursement and reputation. Their work is crucial in helping Medicare Advantage plans achieve high performance and maintain competitiveness in the healthcare market.
What cities are hiring for Medicare Stars Program Manager jobs? Cities with the most Medicare Stars Program Manager job openings:
What states have the most Medicare Stars Program Manager jobs? States with the most job openings for Medicare Stars Program Manager jobs include:
What job categories do people searching Medicare Stars Program Manager jobs look for? The top searched job categories for Medicare Stars Program Manager jobs are:
Medicare Stars Program Manager jobs near you
Infographic showing various Medicare Stars Program Manager job openings in the United States as of May 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 90% In-person, and 10% Remote job distribution, with an average salary of $89,734 per year, or $43.1 per hour.
Quality Improvement - Manager STARS

Quality Improvement - Manager STARS

CommunityCare

Tulsa, OK • On-site

Full-time

Posted 10 days ago

Job description

Job Summary:
The Stars Manager is responsible for leading the design, implementation, and continuous improvement of strategies to achieve and maintain superior CMS Star Ratings. This role serves as the key driver of cross-functional initiatives, leveraging data analytics, regulatory expertise, and strong leadership to optimize quality performance and member outcomes. The Stars Manager will develop, communicate, and execute strategy and goals within a matrixed organizational environment, ensuring alignment with corporate objectives and regulatory requirements. Overall percentage of responsibilities pertaining to quality activities for this job role is 100%.
KEY RESPONSIBILITIES:
  • Serve as a subject matter expert on CMS Star Ratings, providing ongoing education and guidance to teams across the organization to build a shared commitment to excellence and regulatory compliance.
  • Continuously monitor, evaluate, and report on the effectiveness of Stars initiatives, proactively identifying opportunities for improvement and implementing best-in-class solutions to achieve and sustain top-tier Star Ratings.
  • Ensure that best practices are followed and develop innovative approaches in collaboration with internal and external stakeholders to improve member and provider engagement, driving initiatives that directly impact Star Ratings outcomes and foster a culture of excellence.
  • Analyze and interpret data from multiple data sources to identify trends, evaluate efficacy, proactively solve complex problems, remediate risks, and develop plans to drive continuous improvement across all Stars measures.
  • Lead the strategy and tactical direction to improve member experience and provider HEDIS engagement, ensuring alignment with corporate objectives and CMS Star Ratings criteria, and champion efforts to achieve and maintain 4+ Star performance levels.
  • Work closely with data analysts to develop and manage targeting and monitoring capabilities, establishing robust tracking systems and KPIs to ensure progress toward Star Ratings targets is transparent and actionable.
  • Develop content for leadership review, structure decks, anticipate key issues and questions and data needed to drive productive discussion, and provide strategic recommendations to support executive decision-making and Star Ratings advancement.
  • Stay abreast of and keep the organization appraised of existing and new issues impacting Star ratings; lead program updates as needed and incorporate into work programs and processes, ensuring timely adaptation to CMS changes and industry best practices.
  • May engage and oversee the work of external vendors, holding partners accountable for delivering high-quality results that contribute to the organization's Star Ratings objectives.
  • Proactively manage workload to consistently meet tight deadlines while maintaining prompt and effective communication in response to project needs.

QUALIFICATIONS:
  • Excellent written, verbal, and presentation skills.
  • Excellent analytical skills.
  • Interpersonal skills to create relationships, and advance STARS objectives.
  • Proficient in Microsoft Office applications.
  • Successful completion of Health Care Sanctions background check.

EDUCATION/EXPERIENCE:
  • Bachelor's Degree in Nursing, Business, Finance, healthcare or related field. Master's Degree preferred in a healthcare field (MPH, MSN, MHA)
  • Three or more years of Medicare Stars Program and project management experience.
  • Managed Care experience.
  • Five or more years' experience in managing teams, both direct reports and in a matrixed environment
  • Project management and process improvement experience preferred.

CommunityCare is an equal opportunity at will employer and does not discriminate against any employee or applicant for employment because of age, race, religion, color, disability, sex, sexual orientation or national origin

Apply