Director, Medicare Quality Stars - Priority Health
Company: Spectrum Health
Location: Grand Rapids
Posted on: April 10, 2021
Director, Medicare Quality Stars - Priority Health Grand Rapids,
MI CURRENT SPECTRUM HEALTH TEAM MEMBERS - Please apply through Find
Jobs from your Workday team member account. This career site is for
Non-Spectrum Health team members only. Job Description
- Leads Medicare Stars Team including analytics, program
management and outreach activities; directs overall Stars
improvement strategy, including identifying strategic focus areas,
planning & execution of initiatives; allocates and monitors
- Conduit to our Executive Stars Steering Committee to
communicate performance, get buy-in, and cascade the SteerCo
messages back down to the Stars Team.
- Collaborate with senior leaders to communicate Stars
performance, align priorities, and obtain buy-in across the company
on new initiatives.
- Oversees organization-wide socialization of Medicare Stars
improvement program performance and CMS regulatory updates.
- Represents Medicare Stars program in provider JOC (in
collaboration with provider team).
- Collaborates with VP, Sr Markets on CMS advocacy & planning;
oversees CMS submissions/interactions.
- Oversees cultural transformation and organization-wide
awareness of Medicare Stars.
- Maintain close pulse on MA and Stars market insights, including
competitive intelligence and emerging market trends.
- Actively participates in safety initiatives and risk mitigating
measures where appropriate and completes all position and unit
safety related competencies and requirements on a timely
- Performs other duties as assigned.Basic Qualifications:
- Bachelor's degree in nursing, pharmaceutical, health care
management, or other related clinical degree or area required.
- Master's degree (MPH or MBA) preferred.
- Preferred clinical experience and knowledge.
- 7 years of relevant experience as a strategic leader with
demonstrated ability to collaborate with multiple business
functions and drive change preferred.
- Required expertise in quality improvement and patient safety
tools and methodologies including statistical analysis,
epidemiology, and clinical decision support systems including
severity adjustment systems and a variety of benchmarking
- Required demonstrated ability to lead and implement quality
improvement and patient safety initiatives across large complex
organizations.Primary LocationSITE - Priority Health - 1239 E
Beltline - Grand RapidsDepartment NamePH - Medicare -
LeadershipEmployment TypeFull timeShiftWeekly Scheduled
Hours40Hours of Work40Days WorkedMonday thru FridayWeekend
FrequencyN/AAccommodation Notice: If you are a qualified individual
with a disability, you may request a reasonable accommodation in
Spectrum Health's application process. Contact us at 616-486-SHHR
(7447). Spectrum Health grants equal employment opportunity to all
qualified persons without regard to race, color, national origin,
sex, disability, age, religion, genetic information, marital
status, height, weight, sexual orientation, veteran status, or any
other legally protectedcategory. See more here . Spectrum Health is
a nationally recognized not-for-profit health system, offering a
full continuum of health services through our health plan, medical
group and hospital group. As an integrated health system, we are
able to work together across all facilities, employees and
providers to create exceptional, consumer-focused interactions.
--Spectrum Health is redefining what it takes to improve the health
of our communities and introducing new and innovative ways for
consumers to access high-quality, low-cost care so that they can
connect with us for a lifetime of health. We strive to provide one
Spectrum Health experience: a consistent, high-quality, seamless
health journey for consumers; no matter where, when or how they
interact with us. The result is better health outcomes for the
thousands of individuals, families and communities we serve. We are
the region's largest employer, with corporate offices located in
Grand Rapids, Michigan. Spectrum Health Hospital Group and Spectrum
Health Medical Group are consistently recognized for the
exceptional care they provide. Priority Health is among the largest
health system-sponsored health plans in the U.S. and offers
extensive experience serving large and small employer groups,
individuals, Medicare Advantage, Healthy Michigan Plan and Medicaid
populations. Since 2010, Spectrum Health has been listed five times
among the 15 Top Health Systems in the U.S. by Truven Analytics---.
Click here to see a complete list of our safety, quality and
patient experience awards.
Keywords: Spectrum Health, Grand Rapids , Director, Medicare Quality Stars - Priority Health, Executive , Grand Rapids, Michigan
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