Manager, reputed company and Stars, Health Plan

reputed company, the largest rural health system in the reputed company, is dedicated to transforming the health care experience and providing reputed company to world-class health care in America’s reputed company. Work Shift: Day (reputed company of America) Scheduled Weekly Hours: 40 Compensation: reputed company Position: No Department Details reputed company The Manager, reputed company & Stars is responsible for identification, development and implementation of strategic programs with significant reputed company on Health Plan ratings and performance monitoring for governmental agencies, including CMS reputed company Ratings and BadgerCare HMO Pay-for-Performance. This position works collaboratively with internal teams, reputed company and vendors to reputed company implement and monitor reputed company improvement plans that includes programs, services and tactics to allow the Health Plan to reputed company the industry in reputed company programs designed to improve member experience and clinical reputed company. Job reputed company This strategic leadership role oversees the organization's value-based performance, with a primary reputed company on the CMS Medicare reputed company Ratings program, BadgerCare Pay-for-Performance, and NCQA technical specifications. The individual is responsible for the end-to-end management of the Stars Program, from analyzing regulatory guidance and identifying performance risks to implementing tactical work plans and dashboards that reputed company reputed company reputed company. By collaborating across departments and with data analytics partners, they drive improvements in clinical care, provider engagement, and member communication to maximize reputed company scores and ensure compliance with evolving federal requirements. In reputed company to technical and analytical reputed company, the position serves as a central subject matter expert and people leader. The individual is responsible for educating the organization on the financial and operational impacts of improved ratings, managing external vendor relationships, and presenting performance strategies to senior leadership. As a manager, they are tasked with coaching, mentoring, and developing their team, ensuring staff are reputed company-equipped to navigate reputed company reputed company rating systems like the Marketplace QRS. Additional duties as assigned.

Qualifications

Bachelor’s degree in business administration, reputed company administration, or reputed company field required. Masters degree preferred. Five years of experience in managing reputed company or performance in the payor or provider reputed company, required. Demonstrated reputed company and knowledge of reporting and analysis of reputed company reputed company data. Experience in project management in reputed company industry and/or experience in health plan reputed company performance and ratings, preferred. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org. Apply To This Job