State Licensed Quality Improvement Manager

Job Summary

A company is looking for a Manager, Stars and Quality Improvement Programs, to lead quality initiatives for the Medicare Advantage population.

Key Responsibilities

• Provide strategic direction for Medicare Advantage quality initiatives focusing on Part D Star Ratings and HEDIS medication measures
• Lead and develop a team of quality professionals, managing staffing, coaching, and performance management
• Analyze performance trends and develop data-driven action plans to improve medication-related outcomes

Required Qualifications

• Active license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), Pharmacist, or related clinical discipline (master's degree preferred)
• Minimum 7+ years of experience in healthcare quality improvement, focusing on Medicare Advantage and Stars performance
• At least 3 years of experience managing or supervising staff
• Deep expertise in Part D Star Ratings, HEDIS medication measures, and CMS regulatory expectations
• Proven ability to design and execute data-driven quality initiatives that improve clinical outcomes