Head of Medicare Performance Hub
Core
Leadership role owning the Medicare Performance Hub to drive performance improvement in Star Ratings, Risk Adjustment, and Medical Cost Management for Medicare Advantage plans.
Role type
Senior Director, Program Leadership & Analytics Strategy
Builds
National performance intelligence infrastructure, dashboards, and consultative frameworks for plan engagement
Domain
US Healthcare / Medicare Advantage / Managed Care Performance
Deliverable
production ML models | dashboards & analysis | client delivery
Required skills
Medicare Advantage program management, Star Ratings strategy, Risk Adjustment coding accuracy, Medical Cost Management, vendor management, stakeholder leadership, data governance, corrective action planning
Preferred skills
MS in Health Administration/Public Health/Business Administration
Technologies
CMS data systems, analytics platforms, EMR integrations, Health Information Exchanges
Responsibilities
Establish governance and accountability structures for plan performance; monitor real-time performance and identify remediation pathways; deliver actionable member-level insights via dashboards; manage analytics platform vendors and data integration strategies; lead Stars, Risk Adjustment, and cost management analytics development; engage with Plan CEOs and leadership on performance improvement strategies.
Seniority
Senior Director, strategic program ownership
