Top 658 Medicare manager Jobs in Massachusetts

Program Manager, Medicare Stars & Quality Improvement (Remote in Massachusetts)
Molina Healthcare —Waltham, MA
- $84,067 - $163,931 a year
- Full-time
- Remote
- Writing skills
- Analysis skills
- Organizational skills
- Health insurance
New Initiatives Program Manager, Revenue Cycle Operations
Mass General Brigham Incorporated —Somerville, MA
- $79,560.00 - $115,720.80 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Opportunities for advancement
Quick Apply
Senior Program Manager, Patient Safety
The Brigham and Women's Hospital, Inc. —Boston, MA
- $99,465.60 - $141,804.00 a year
- Full-time
- Hybrid work
- Microsoft Excel
- 5 years
- Writing skills
- Opportunities for advancement
Quick Apply
Senior Manager - Product Growth Enablement - Medicare
CVS Health —Massachusetts
- $82,940 - $182,549 a year
- Full-time
- Remote
- 3 years
- Bachelor's degree
- Travel
- Health insurance
- Dental insurance
Health Equity Program Manager
Beth Israel Lahey Health —Charlestown, MA
- $79,997 - $119,995 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Compliance Program Manager (Operations and Investigations)
Philips —Cambridge, MA
- $125,000 - $198,000 a year
- Full-time
- Microsoft Access
- 5 years
- Office
- Health savings account
- Employee stock purchase plan
Compliance Reporting Program Manager
Cohere Health —Boston, MA
- $110,000 - $125,000 a year
- Remote
- 8 years
- SQL
- Analysis skills
- Paid parental leave
- Health savings account
Quick Apply
Senior Vendor Compliance Program Manager
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $99,465.60 - $144,643.20 a year
- Full-time
- Hybrid work
- Office
- Master's degree
- Bachelor's degree
- Health insurance
- Opportunities for advancement
Quick Apply
12d
Compliance Program Manager III
Point32Health —Canton, MA
- $98,783.90 - $148,175.86 a year
- Full-time
- Microsoft Excel
- Office
- 3 years
- Disability insurance
- Health insurance
Lead Compliance Program Manager
Point32Health —Canton, MA
- $103,111.66 - $154,667.50 a year
- Full-time
- Microsoft Excel
- Office
- 3 years
- Disability insurance
- Health insurance
System Quality & Regulatory Programs Manager
UMass Memorial Health —Worcester, MA
- $111,384.00 - $200,491.20 a year
- 8 hour shift
- Hybrid work
- 7 years
- Master's degree
- Mentoring
Program Manager III, Network Quality
Dana-Farber Cancer Institute —Foxborough, MA
- $108,280 - $118,915 a year
- Full-time
- Hybrid work
- 7 years
- Research
- Analysis skills
Clinical Research Program/Project Manager
The General Hospital Corporation —Boston, MA
- $63,252.80 - $102,596.00 a year
- Full-time
- Hybrid work
- Spanish
- 5 years
- Writing skills
- Opportunities for advancement
Quick Apply
2d
Senior Provider Experience Program Manager - Healthcare Claims
CVS Health —Massachusetts
- $106,605 - $284,280 a year
- Full-time
- Remote
- Bachelor's degree
- Mentoring
- Fair chance
- Health insurance
- Dental insurance
Benefits Program Manager, Health & Wellbeing
Liberty Mutual —Boston, MA
- $83,000 - $154,000 a year
- Full-time
- Hybrid work
- 5 years
- HIPAA
- Office
8d
Program Manager, Research
Beth Israel Lahey Health —Boston, MA
- $65,000.00 - $119,995.20 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Hospital
Program Manager I
Point32Health —Canton, MA
- $66,660.92 - $99,991.38 a year
- Full-time
- Mid-level
- Office
- Master's degree
- Disability insurance
- Health insurance
House Manager & Program Leader
High Spirit Community Farm —Great Barrington, MA
- $40,000 a year
- Weekends as needed
- Mid-level
- Residential
- Driver's License
- Relocation assistance
- Paid time off
Quick Apply
Senior Program Manager
Autonodyne LLC —Boston, MA
- $150,000 - $205,000 a year
- Full-time
- Hybrid work
- Computer Science
- 5 years
- Office
- Health savings account
- Health insurance
Quick Apply
Case Worker Manager | Transitional Age Youth Program
The Home for Little Wanderers, Inc. —Dorchester, MA
- On call
- Computer literacy
- Mid-level
- Bachelor's degree
- 403(b) matching
- AD&D insurance

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medicare manager jobs near massachusetts

Program Manager, Medicare Stars & Quality Improvement (Remote in Massachusetts)

Molina Healthcare -
Waltham, MA

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Job Details

Full-time
$84,067 - $163,931 a year

Benefits

Health insurance

Qualifications

Medicare
Spreadsheets
Writing skills
Metrics Reporting
Data summary reports
Quality reports
Key Performance Indicators
Quality performance measurement
Quality planning
Project management experience in healthcare
Managing projects
Medicaid
Productivity software
Healthcare performance metrics analysis
Cross-functional team management
Cross-functional communication
Data analysis software

Full Job Description

JOB DESCRIPTION Job SummaryProvides 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.

To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $84,067 - $163,931 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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Refine Your Search

medicare manager jobs in massachusetts

Program Manager, Medicare Stars & Quality Improvement (Remote in Massachusetts)

New Initiatives Program Manager, Revenue Cycle Operations

Senior Program Manager, Patient Safety

Senior Manager - Product Growth Enablement - Medicare

Health Equity Program Manager

Compliance Program Manager (Operations and Investigations)

Compliance Reporting Program Manager

Senior Vendor Compliance Program Manager

Compliance Program Manager III

Lead Compliance Program Manager

System Quality & Regulatory Programs Manager

Program Manager III, Network Quality

Clinical Research Program/Project Manager

Senior Provider Experience Program Manager - Healthcare Claims

Benefits Program Manager, Health & Wellbeing

Program Manager, Research

Program Manager I

House Manager & Program Leader

Senior Program Manager

Case Worker Manager | Transitional Age Youth Program

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