Stars and Quality Program Manager

Posted 8 Days Ago
Be an Early Applicant
Nashville, TN
Mid level
Healthtech
The Role
The Stars & Quality Programs Manager is responsible for managing quality metrics in Medicare Advantage care, developing action plans to aid providers in quality goal achievement, overseeing quality training, and driving performance to close quality gaps across partner organizations.
Summary Generated by Built In
Who You Are

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient’s conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don’t want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

Does this sound like you? If so, we should talk.


Who We Are

We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

For us, it’s all in an Honest day’s work.

Your Role 

The Stars & Quality Programs Manager will act as a subject matter expert on Medicare Advantage, MSSP, and ACO REACH quality metrics and performance strategies to drive success on supporting high-quality care for patients in Honest’s partner organizations. The Stars & Quality Programs Manager will be responsible for developing the action plans to help our providers reach their quality goals and implementing them across the field teams and practice partners. The Program Manager will also oversee day to day quality relationship with our provider partners, provide quality training to field teams and practice partners, and drive performance in  ensuring quality gap closure. 


Primary Functions Include: 

Program Management and Delivery 

  • Assist with the design, development and implementation of partner specific quality workplans to ensure optimal performance. 
  • Assist with the development and implementation of initiatives to address care gaps, improve patient outcomes, and drive quality performance for each contract. 
  • Collaborate with internal teams to ensure optimal Consumer Assessment of Healthcare Provider & Systems/Health Outcome Surveys (CAHPS/HOS) performance. 
  • Attend partner meetings with quality performance updates, inform on initiatives, and provide recommendations. 
  • Ensure the quality team meets deliverables for our partners, communicate risk/known barriers to leadership, and provide guidance to improve measure performance 
  • Monitors key performance indicators (KPIs) ; intervenes as needed and escalate issues where performance falls outside of expected levels. 


How You Qualify 

  • Bachelor’s degree in health administration, business, or similar field required 
  • 3+ years of experience with quality programs such as ACO REACH and STARS required 
  • Medicare Advantage experience required 
  • Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity 
  • Ability to manage complex, cross-functional, and enterprise-wide projects that align with the overall Stars workplan 
  • Comfortable and experienced with Excel, Word, PPT, Adobe PDFs, experience with downloading reports and documentation from portals and SFTP sites 
  • Data analytics experience preferred 
  • Some travel required, up to 20% 

The base pay range for this role is $84,200 - $96,800. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.


How You are Supported
  • As a full-time team member, you will benefit from Honest’s exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
  • Family friendly policies that support paid parental leave and flexible work arrangements
  • As a team member you’ll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest.
  • You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest’s high-quality, value-based, care model.

Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. 

Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email [email protected] for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Medical Group contacts candidates via various platforms, including Honest’s recruiting platform and/or email or text message.  If working with candidates directly, Honest will contact candidates using an honestmedicalgroup.com email address.  For reference, the recruiting process will always include a live phone call and/or real person interview prior to making a formal offer of employment.  Honest will never ask for an individual’s confidential personal information or financial account information (i.e., social security number or bank account and/or routing number)  prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media.  Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information).  We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with.  If there are any questions as to whether a communication is coming from Honest, candidates may reach out to [email protected].


Top Skills

Excel
Ppt
Word
The Company
HQ: Nashville, Tennessee
197 Employees
On-site Workplace
Year Founded: 2021

What We Do

At Honest, we’re committed to realizing the quadruple aim by providing unwavering support to physicians in the shift toward value-based care. We empower physicians to thrive in environments where incentives are aligned, resources are delivered, and patient information is made available — all resulting in elevated standards of patient care.

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