Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Medicare Star Program Director is responsible for the development and ongoing management of one or more Medicare Star programs that are multi-state, multi-function and multi-year in scope, with a focus on pharmacy clinical quality. Program directors typically support business strategies through an integrated portfolio of programs, projects and initiatives.
How you will make an impact:
Directs the development, planning, prioritization, approval, implementation and compliance of on-going Medicare Star programs.
Establishes program governance when needed to assure response to issue escalation; develops program budget and ensures program meets its stated objectives.
Provides subject matter expertise in response to day-to-day business issues; researches applicable subject matter practices; and remains aware of industry trends.
Manages stakeholder relationships and partners with corporate and regional business areas.
Develops communication documents related to portfolio program success measures.
Develops documentation to support meeting presentations and the tracking and reporting of the program's success.
Provides leadership to program managers and project managers.
Typically reports to an executive.
Program directors typically manage programs that require managing activities and resources of multiple departments or business areas of the organization.
Minimum Requirements:
Requires a BA/BS and minimum of 10 years experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Master's degree preferred.
Experience in Medicare, Medicare Star, clinical quality, pharmacy quality, health plan operations, or healthcare quality improvement preferred.
Quality improvement certifications preferred.
Project management certification (PMP) preferred.
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $110,160 to $198,288.
Locations: California, Colorado, Hawaii, Nevada, Jersey City, NJ, New York, Washington State
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.