JOB SUMMARY

Under the direction of the Director of Quality, the Stars Program Manager is responsible for the end-to-end management, governance, and execution oversight of the Medicare Advantage Stars program at HealthTeam Advantage.

This role provides program-level leadership across all Stars components, including HEDIS, CAHPS, HOS, Part D, operational measures, CM submissions, validations, and performance improvement initiatives.  The Stars Program Manager is responsible for integrating clinical, analytics, operations, and vendor execution and directly influencing regulatory outcomes. Ensures strategic alignment, cross-functional coordination, risk mitigation, and timely delivery of program outcomes that directly impact CMS Star Ratings and quality performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES

This position must be able to:

1. Own and manage the Medicare Advantage Stars Program as an integrated, multi-year, cross-functional program, ensuring alignment of strategy, execution, and outcomes across all Stars domains. Provide program governance and oversight for multiple concurrent Stars initiatives, including evaluation, planning, implementation, monitoring, and continuous improvement activities.
2. Develop, maintain, and oversee the enterprise Stars Workplan, including annual updates, performance tracking, risk identification, and leadership review and approval.
3. Coordinate and align efforts across internal departments and external partners, holding stakeholders accountable for deliverables, timelines, and outcomes that support Stars performance.
4. Serve as a central point of coordination for Stars-related initiatives, ensuring dependencies, risks, and interdependencies across measures and teams are proactively managed.
5. Apply strong organizational and prioritization skills to manage competing demands in a fast-paced, highly regulated environment while maintaining a high-quality written and analytical work product.
6. Prepare and deliver clear, concise program updates, leadership briefings, and presentations, including meeting facilitation, documentation, and follow-up tracking.
7. Partner with cross-functional leaders and senior management to support change management strategies related to people, process, and technology improvements impacting Stars performance.
8. Collaborate respectfully and effectively with internal and external stakeholders to identify opportunities, communicate findings, address barriers, and drive program success.
9. Interpret, understand, and apply CMS Medicare Advantage regulations and Stars program requirements to program planning, execution, and monitoring activities.
10. Support continuous improvement of workflows, documentation standards, and program management practices related to Stars operations.
11. Data analysis of program data.
12. Assists with managing risk management for the stars and quality programs.
13. Perform other duties as assigned.

EDUCATION AND EXPERIENCE

Education:

• Bachelor’s degree in business, healthcare administration, public health, or related field or 3 years equivalent work experience
  

Required Experience:

• Three (3) or more years of experience in program or project management, preferably within healthcare or regulated environments
• Three (3) or more years of Medicare Advantage experience, including familiarity with CMS Stars programs.
• Proficient in Microsoft Outlook, Word, Teams, PowerPoint, OneNote, and MS Excel (Level 3 – Expert)

Preferred Experience:

• Master’s degree in public health, health care administration, business, or related field.

KNOWLEDGE, SKILLS, AND ABILITIES

Required:

• Knowledge of applicable CMS Medicare Advantage regulations and CMS Stars program requirements.
• Strong program coordination, organizational, and analytical skills.
• Ability to work independently while managing complex, cross-functional initiatives.
• Excellent verbal and written communication skills.
• Strong judgment, problem-solving, and decision-making abilities.
• Microsoft Office Applications, proficient in Outlook, Word, Teams, PowerPoint, OneNote, and Excel (Level 3 – Expert)

• Competencies:
  • Decision-making/Judgment
  • Organizational skills
  • Problem-solving/Analysis
  • Effective Communication (verbal and written)
  • Facilitating Change
  • Creativity/Innovation
  • Driving for Results
  • Collaboration and Relationship Management
  • Ability to work independently.

Preferred:

• Formal program or project management training or certification (PMP, Lean Six Sigma, Agile, or similar).

PHYSICAL REQUIREMENTS

1. Exerting up to 10 pounds of force occasionally (up to 1/3 of the time) and; A negligible amount of force is frequently (1/3 to 2/3 of the time) required to lift, carry, push, pull, or otherwise move objects, including the human body. 
2. Sedentary work involves sitting most of the time but may also involve walking or standing for brief periods. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.

ABOUT HEALTHTEAM ADVANTAGE

HealthTeam Advantage is an equal-opportunity employer. All applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

HealthTeam Advantage (HTA), a Greensboro-based health insurance company, offers Medicare Advantage plans to eligible Medicare beneficiaries in 33 North Carolina counties. HTA has been named a “Best Places to Work” finalist three times by Triad Business Journal. To learn more, visit HealthTeamAdvantage.com