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Stars and Quality Program Manager



Operations, Quality Assurance
Nashville, TN, USA
Posted on Friday, May 3, 2024

Who You Are

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient’s conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don’t want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

Does this sound like you? If so, we should talk.

Who We Are

We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

For us, it’s all in an Honest day’s work.

Your Role

The Star and Quality Program Manager will act as a subject matter expert on Medicare Advantage and ACO REACH quality metrics and performance strategies to drive success on supporting high-quality care for patients in Honest’s partner organizations. This role will be responsible for reviewing performance data and trends, working with partner organizations to create a shared action plan, executing key tactics, and monitoring performance to ensure the partner organization achieves quality goals. The Program Manager will also partner across the quality team to design and implement solutions to achieve quality goals including quality training, direct patient outreach, and patient experience.

Primary Functions Include:

Program Management and Delivery

  • Assist with the design, development and implementation of partner specific Star Ratings workplans and initiatives to address care gaps, improve patient outcomes, and to ensure optimal performance across all partners.
  • Attend partner meetings with external partners to deliver Star Ratings and ACO REACH quality performance, provide updates on execution and barriers, and provide recommendations for ongoing improvement.
  • Lead quality meetings with each partner organization to review performance, refine action plans, identify barriers, and share insights.
  • Partner to design and deliver Star Ratings and ACO REACH quality education to partners and internally.
  • Monitor key performance indicators (KPIs) and Stars performance; intervenes as needed and escalate issues where performance falls outside of expected levels.
  • Perform other related responsibilities as required.

How You Qualify

  • Bachelor’s degree in health administration, business, or similar field required
  • 3+ years of experience with quality programs specifically ACO REACH and Star Ratings required
  • Medicare Advantage experience required
  • Must have reliable access to high-speed internet to ensure seamless remote work communication and productivity
  • Ability to manage complex, cross-functional, and enterprise-wide projects that align with the overall quality workplan
  • Comfortable and experienced with Excel, Word, PowerPoint, Adobe PDFs, experience with downloading reports and documentation from portals and SFTP sites
  • Data analytics experience preferred
  • Some travel required, up to 20%

How You are Supported

  • As a full-time team member, you will benefit from Honest’s exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
  • As a part-time team member, you will benefit from Honest’s total rewards package, including competitive base pay with bonuses, pro-rated paid time off, paid holidays, reimbursement for continuing medical education, 401k with match.
  • Family friendly policies that support paid parental leave and flexible work arrangements
  • As a team member you’ll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest
  • You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest’s high-quality, value-based, care model.

Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@HonestMedicalGroup.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Medical Group contacts candidates via various platforms, including Honest’s recruiting platform and/or email or text message. If working with candidates directly, Honest will contact candidates using an honestmedicalgroup.com email address. For reference, the recruiting process will always include a live phone call and/or real person interview prior to making a formal offer of employment. Honest will never ask for an individual’s confidential personal information or financial account information (i.e., social security number or bank account and/or routing number) prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media. Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information). We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with. If there are any questions as to whether a communication is coming from Honest, candidates may reach out to talent@honestmedicalgroup.com.