Hybrid Sr. Clinical Program Manager at The Judge Group Inc. in Eagan, Minnesota

Job Description:

Location: Eagan, MN

Salary: Depends on Experience

Description: Our client is currently seeking a Hybrid Sr. Clinical Program Manager


This is a HYBRID role, working Mon-Fri business hours, commuting to Eagan, MN


Equipment and supplies will be provided!


This position supports the design, development, implementation, and evaluation of programs focused on improved CMS (Centers for Medicare & Medicaid Services) Star Ratings.


This job will have the following responsibilities:

• Develop detailed strategies and workplans to influence the success for operational change and performance for assigned Star measures.


• Use evidence-based and multi-component approaches to program strategy, design, and execution.


• Drive the development and documentation of design, requirements, and key milestones of required tactics to support increased and sustained Star ratings that achieve the organizational overall goal for assigned Star measures.


• Maintain strategic relationships and partner with key resources, both internal and external, to support the design and ensure market, member, and provider considerations are factored into the design.


• May include vendor oversight. Support the business decision making process to ensure capabilities, systems and processes meet market expectations and that alternate approaches are vetted and explored.


• Support the ongoing program management work of multiple programs to ensure the strategy is in alignment to solutions put forth through skills of influence.


• Manage and monitor multiple appropriate metrics, perform data analysis and evaluation for each initiative.
  
  

Qualifications & Requirements:

• Bachelor's and/or master's degree in business, nursing, public health, health sciences, health promotion, or related field.


• Strong knowledge working with CMS Star Ratings measures (such as NCQA HEDIS®, CAHPS, PQA/Pharmacy, HOS, Operations, and CMS Display measures) and experience with the Medicare population preferred. Previous health plan experience.


• Experience in process improvement and driving clinical measures


• Content expertise in the reduction of health risk behavior. Experience working in/with diverse racial or ethnic groups and nations.

Thank you for your time, we look forward to working with you!



Contact: croche01@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now