Senior STARS Project Consultant

2 weeks ago

Southfield, United States Blue Cross Blue Shield of Michigan Full time

The

Senior Stars Project Consultant

is responsible for supporting the Stars Program Performance Manager, who is responsible for supporting Star measure owners with initiative development and tracking, driving cross-enterprise ideation and collaboration to improve performance, escalating risks or issues with implementation progress and budget adherence to Stars leadership, and facilitating key Stars support meetings.

ESSENTIAL DUTIES AND RESPONSIBILITIES

include the following. Other duties may be assigned.

Collaborates with initiative owners across all domains to establish key leading indicators for new initiatives and ensures they are added to the dashboard.

Manages dashboard to ensure it is updated by initiative owners on agreed upon cadence.

Monitors performance of measures and KPI’s.

Completes thorough portfolio review across all domains to uncover new opportunities to improve performance.

Stays current with latest best practices for each Star measure to ensure optimal portfolio performance.

Supports in agenda development, facilitation, and minutes for Star meetings.

Supports budget portfolio management and reporting optimization.

Serves as the interface between Stars leadership and measure owners to ensure transparency and alignment across all tactical work efforts.

Liaises across the National MA Model and the Plan Partners functional areas to facilitate cross-enterprise visibility into Stars efforts, identify cross-function opportunities for collaboration / support, and ensure cohesion across all current and planned Stars initiatives.

Develop and implement communication plans to keep internal parties, including senior leadership, apprised of the status and positioning of Star performance.

Share input to both Star metric/domain owners and Stars leadership team on which Star initiatives have overlap/redundant gap work coupled with key metric KPIs that are not on target to meet goal.

Performs advanced administrative/operational duties that require independent initiative.

Provides assistance on technical matters and act as a significant information resource.

Cross-organizational communication with Stars stakeholders.

Tracks CMS memos, call letters and communications.

EDUCATION AND EXPERIENCE

Bachelor’s degree in a related field. Relevant combination of education and experience may be considered in lieu of degree.

EXPERIENCE

Five (5) years of progressively more responsible experience in a related environment with demonstrated technical experience that provides the necessary knowledge, skills, and abilities.

Three (3) years of experience in Government Quality programs, preferably Medicare Stars. In lieu of experience, master’s degree in a healthcare field.

One year of healthcare provider and payer experience or its equivalent is preferred.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OTHER SKILLS AND ABILITIES

Ability to work independently with little supervision.

Ability to facilitate problem and complaint resolution, and to identify potential solutions and pathways.

Attention to detail is a must.

Excellent analytical and organizational skills.

Excellent presentation and facilitation skills.

Demonstrated leadership and project management abilities.

Ability to make competent, independent decisions.

Ability and proficiency in the use of computers and Company standard software specific to position.

Ability to coordinate across a large group of diverse stakeholders from different functional areas of the organization.

Strong collaboration mindset with the ability to drive action and alignment on priorities through influence.

Ability to read and interpret documents including process, procedure, and technical manuals.

Ability to effectively exchange information, in verbal or written form, by sharing ideas, reporting facts and other information, responding to questions, and employing active listening techniques to various levels of the organization, customers and stakeholders.

Ability to rapidly digest and understand new information, including regulations, operational processes, and financial models, and communicate that information in a broad business setting.

Ability to succinctly translate complex government policy into business impact.

Ability to evaluate analysis outputs from internal and external sources to assess practicality and appropriateness of recommendations.

Ability to impact change in complex organizations and across cross-functional teams.

Comfortable with change.

Oral and written communication skills

WORKING CONDITIONS:

Work is performed in an office setting with no unusual hazards.

The qualifications listed above are intended to represent the minimum education, experience, skills, knowledge and ability levels associated with performing the duties and responsibilities contained in this job description.

Pay Range

Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between $70,400 and $117,800.

We are an Equal Opportunity Employer.

Diversity is valued and we will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis.

Nothing herein is intended to create a contract.

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