Medicare CAHPS & STAR Quality Clinical Program Manager
Core
Manage clinical program development for population-based clinical quality measures, including Medicare Star and CAHPS, overseeing account management and implementation across all lines of business.
Role type
Senior clinical program manager (Medicare quality)
Builds
Clinical quality programs and tools for Medicare members and providers
Domain
Healthcare / Medicare / Quality Measurement
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Strategic leadership, vendor contract management, regulatory compliance, program development, data analysis, project prioritization
Preferred skills
AI prompt design for healthcare, member experience improvement, Medicare Star/CAHPS program implementation, program improvement, vendor management, Medicare Part D experience, member population management, CMS Star Ratings regulations knowledge
Technologies
CMS Star Ratings, CAHPS, Medicare Part D
Responsibilities
Provide strategic leadership for Medicare clinical and quality programs; oversee vendor contracts and service-level agreements; develop and implement annual plans for clinical programs; evaluate industry best practices and medical research; ensure regulatory compliance; track program performance and modify as needed; lead program development activities and coordinate communications.
Seniority
Senior, hands-on IC
