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Medicare Stars Strategy Jobs (NOW HIRING)

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The Director, Stars & Member Experience provides strategic leadership for Presbyterian Health Plan's Medicare Star Ratings, CAHPS, Health Outcomes Survey (HOS), and Member Experience programs. This ...

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Medicare Stars Strategy information

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$54K

$100.9K

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How much do medicare stars strategy jobs pay per year?

As of Aug 24, 2026, the average yearly pay for medicare stars strategy in the United States is $100,896.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $135,000.00 per year, depending on experience, location, and employer.

What is a Medicare Stars Strategy?

A Medicare Stars Strategy job focuses on improving a health plan's Medicare Star Ratings by analyzing data, implementing quality improvement initiatives, and ensuring compliance with CMS requirements. Professionals in this role collaborate with various departments to enhance member experience, clinical outcomes, and operational efficiency. Their goal is to optimize plan performance, increase reimbursement rates, and maintain high-quality care for Medicare beneficiaries.

What are some common challenges faced in a Medicare Stars Strategy position, and how can they be addressed?

Professionals in Medicare Stars Strategy roles often encounter challenges such as keeping up with changing CMS requirements, identifying gaps in quality measures, and driving cross-functional initiatives to improve performance. Meeting or exceeding Star Ratings targets requires effective data analysis, collaboration with providers and care teams, and the ability to implement quality improvement projects across departments. Staying proactive with ongoing education, utilizing robust data analytics tools, and fostering open communication between teams can help address these challenges and achieve sustained success. A team-oriented mindset and adaptability are also crucial, given the rapidly evolving healthcare environment.

What are the key skills and qualifications needed to thrive in the Medicare Stars Strategy position, and why are they important?

To excel in a Medicare Stars Strategy role, you need strong analytical skills, knowledge of Medicare Advantage programs, and expertise in healthcare quality metrics, often supported by a degree in healthcare administration or a related field. Familiarity with data analytics tools, CMS Star Ratings systems, and quality improvement methodologies like HEDIS is typically required. Excellent project management, communication, and collaboration abilities are valuable soft skills that drive results in this role. These competencies are critical for effectively improving Star Ratings, which impact plan performance, member satisfaction, and organizational revenue.

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Cities with the most Medicare Stars Strategy job openings:

What states have the most Medicare Stars Strategy jobs?

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Medicare Stars Strategy jobs near you
Infographic showing various Medicare Stars Strategy job openings in the United States as of August 2026, with employment types broken down into 92% Full Time, 6% Part Time, and 2% Contract. Highlights an 79% Physical, 6% Hybrid, and 15% Remote job distribution, with an average salary of $100,896 per year, or $48.5 per hour.

Program Manager, Medicare Stars & Quality Improvement

Socket.dev

Long Beach, CA • On-site

$120 - $180/hr

Other

Medical

Posted 5 days ago

Job description

JOB DESCRIPTION Job Summary

Provides subject matter expertise and leadership for Medicare Stars quality improvement (QI) programs and activities. Provides subject matter expertise in planning and implementing QI initiatives and education programs to support improved Medicare Star ratings. Responsible for leading and managing Medicare Star projects and programs involving enterprise, department, cross-functional and health plan teams of subject matter experts, delivering impactful quality improvement initiatives through design process to completion and outcomes measurement.

Essential Job Duties
  • Collaborates with cross-functional corporate and health plan teams on the development and implementation of enterprise Medicare Stars quality improvement (QI) programs and initiatives across the enterprise.
  • Manages, plans and executes Medicare Star ratings programs.
  • Supports Stars program execution and governance needs; communicates, measures outcomes and develops initiatives to improve Star ratings.
  • Serves as the Medicare Stars subject matter expert to corporate functional areas/health plans, and leads programs to meet critical needs.
  • Communicates and collaborates with health plans and Stars measure owners to analyze and transform needs and goals into functional requirements to maximize improvement opportunities.
  • Leads health plan leadership discussions to provide recommendations, performance results and opportunity assessments for Medicare Stars improvement.
  • Collaborates with operational leaders within the business to provide recommendations on opportunities for process improvements, organizational change management, program management and other processes related to Medicare Star ratings.
  • Facilitates process improvement, organizational change management, program management and other processes relative to the Medicare Stars Program.
  • Plans and directs schedules for program initiatives, as well as program budgets.
  • Develops, defines, and executes plans, schedules, and deliverables; monitors programs from initiation through delivery through outcomes measurement.
  • Monitors and tracks key performance indicators (KPIs), programs and initiatives to reflect the value and effectiveness of Stars and QI programs.
  • Creates business requirements documents, test plans, requirements traceability matrix, user training materials and other related documents.
  • Monitors projects from inception through delivery and outcomes measurement.
  • May engage and oversee the work of external vendors.
  • Generates and distributes quality improvement/Medicare Stars standard reports timely.
Required Qualifications
  • At least 6 years of Medicare Stars program and project management experience, or equivalent combination of relevant education and experience.
  • Demonstrated knowledge of and experience with Medicare Star ratings and QI programs.
  • Advanced knowledge of the quality discipline, including metrics and performance standards.
  • Experience with government-sponsored programs (Medicaid, Medicare, Marketplace).
  • Experience developing performance measures that support business objectives.
  • Solid business writing experience.
  • Strong strategic-thinking skills.
  • Strong proficiency with data analysis, manipulation, interpretation, reporting and data-driven decision-making.
  • Critical-thinking, problem-solving and analytical skills.
  • Attention to detail and organizational skills.
  • Ability to implement process improvement initiatives and drive change.
  • Ability to work independently in a fast-paced, deadline-driven environment.
  • Ability to work in a cross-functional highly matrixed organization.
  • Strong project management experience.
  • Excellent verbal, written, and presentation communication skills.
  • Microsoft Office suite (including Excel), and applicable software programs proficiency, and ability to learn new information systems and software programs.
Preferred Qualifications
  • Strong Medicare Stars/quality improvement (QI) program experience.
  • Six Sigma Black Belt Certification.
  • ITIL (Information Technology Infrastructure Library) certification.
  • Experience in leading significant cross-functional work.
  • Strong project management experience.
  • Molina Healthcare offers a competitive benefits and compensation package.

Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

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