Medicare Advantage Stars Program Manager, Peformance Measurement & Improvement (Hybrid/Troy, MI) - Health Alliance Plan
🔍 Troy, Michigan
GENERAL SUMMARY:
Under minimal supervision, the Program Manager will lead governance and execution oversight for Medicare Star Rating Program (Stars) initiatives across the organization. This role will partner closely with Healthcare Management divisional leadership to translate strategic goals and priorities into actionable programs, ensuring visibility, accountability, and performance tracking. The program manager will support cross-functional teams in delivering prioritized Stars initiatives efficiently and effectively, using structured governance, centralized dashboards, and continuous monitoring to drive transparency and accountability.
DUTIES AND RESPONSIBILITIES:
Serve as the operational counterpart to the Stars Leadership team, translating strategic goals and priorities into actionable, trackable initiatives.
Lead the development and execution of a governance oversight framework to monitor, prioritize, and align Medicare Stars initiatives across multiple departments within the organization.
Maintain a continuous monitoring system that includes program metrics, milestone charts, roadmap, schedule, project plan, executive dashboards, tracking tools, and real-time reporting on program health and progress against goals.
Act as a liaison between Stars leadership, operational teams, and vendor teams, as applicable ensuring consistent communication of goals, progress, and risks for program measures and categories including HEDIS/HOS, CAHPS, Pharmacy, and Plan Operations/Member Experience.
Establish clear roles, responsibilities, and escalation paths to streamline decision-making and ensure accountability among internal teams, operational stakeholders, and executive sponsors.
Develop program and project-level success KPIs, ensuring value is being realized, and leverage reporting mechanisms to monitor performance.
Manage timing, quality, and financial results of Medicare Stars programs/projects from start to finish, to meet customer needs and ensure winning performance.
Primary point of communication with strong cross-functional stakeholder management skills for business and IT partners for the assigned program; maintaining strong partnerships and ensuring timely and accurate communication of Medicare Stars program updates to key stakeholders and HAP leadership.
Leverages program documentation and action-oriented behavior to navigate ambiguity and seek clarity as priorities change.
Manage risks and issues within the program and escalate unresolved issues to senior leadership as required.
Promote individual professional growth and development; serve as a mentor and resource to less experienced project managers.
Leverage creative, "out-of-the-box" thinking to develop original solutions to overcome roadblocks and meet or exceed project requirements and expectations.
Manage post implementation support and provide post implementation project review.
Support procurement processing of RFPs, Vendor Contracting, Purchase Orders, and other contract-related artifacts.
Act as a subject matter expert providing project management methodology consulting to project-level team members.
Manage the Stars Oversight program budget, including evaluating proposals, managing executive approval, coordinating cross-functional reviews of value achieved, and ongoing monitoring of financial reports, invoices, trends, and forecasts.
Other duties as assigned.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor’s degree in Business Administration, Project Management, Healthcare Administration, or related field.
Master’s degree preferred.
At least five (5) years of experience in healthcare delivery, project management, and running large projects of a complex nature.
Two (2) years of experience using data to drive business decisions, preferred.
Two (2) years of managed care/insurance related business, preferred.
Experience with the Medicare Star Rating Program, HEDIS, or Quality preferred.
Effective oral and written communication and interpersonal skills.
Strong presentation skills.
Must be able to work autonomously with strong task management skills.
Overview
HAP is a Michigan-based, nonprofit health plan that provides health coverage to individuals, Â Â Â Â Â companies and organizations. A subsidiary of Henry Ford Health System, we partner with doctors, employers and community groups to enhance the overall health and well-being of the lives we touch. With more than 1,100 dedicated and passionate employees, our goal is to make health care easy for our members.
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Under the leadership of President and CEO Robert G. Riney, Henry Ford Health is a
$6 billion integrated health system comprised of six hospitals, a health plan, and 250+ sites
including medical centers, walk-in and urgent care clinics, pharmacy, eye care facilities and
other healthcare retail. Established in 1915 by auto industry pioneer Henry Ford, the health system
now has 32,000 employees and remains home to the 1,900-member Henry Ford Medical Group, one
of the nation’s oldest physician groups. An additional 2,200 physicians are also affiliated with the
health system through the Henry Ford Physician Network. Henry Ford is also one of the region’s Â
major academic medical centers, receiving between $90-$100 million in annual research funding and
remaining Michigan’s fourth largest NIH-funded institution. Also an active participant in medical
education and training, the health system has trained nearly 40% of physicians currently practicing
in the state and also provides education and training for other health professionals including nurses,
pharmacists, radiology and respiratory technicians. visit HenryFord.com.
Benefits
Whether it's offering a new medical option, helping you make healthier lifestyle choices or
making the employee enrollment selection experience easier, it's all about choice. Â Henry
Ford Health System has a new approach for its employee benefits program - My Choice
Rewards. Â My Choice Rewards is a program as diverse as the people it serves. Â There are
dozens of options for all of our employees including compensation, benefits, work/life balance
and learning - options that enhance your career and add value to your personal life. Â As an
employee you are provided access to Retirement Programs, an Employee Assistance Program
(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness
and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other
benefits and services. Employee's classified as contingent status are not eligible for benefits
Equal Employment Opportunity/Affirmative Action Employer
Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is
committed to the hiring, advancement and fair treatment of all individuals without regard to
race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,
weight, marital status, family status, gender identity, sexual orientation, and genetic information,
or any other protected status in accordance with applicable federal and state laws.