Senior Management Engineer - Medicare Star Rating Program (Hybrid/Troy, MI) - Health Alliance Plan
🔍 Troy, Michigan
GENERAL SUMMARY:
Under limited supervision from the Director, Senior Manager or other more senior staff, the Senior Management Engineer is responsible for the facilitation of multiple Continuous Improvement (CI) efforts and applies a variety of improvement methodologies (including lean, six sigma, theory of constraints, TQM, human factors design) and group management techniques to support individuals and teams through process improvement initiatives. Project work may include technical analyses or may require facilitation of a large multi-disciplinary group of administrators and/or medical personnel. Works collaboratively with leadership to increase efficiencies, decrease costs, reduce variability, reduce errors/defects, and involve all appropriate personnel. Prepares reports and recommendations for management and coordinates implementation whenever possible. This individual provides needed continuous improvement training and education and works closely with other CI personnel to meet education needs at all levels throughout the institution. May supervise tasks of Student Analysts or Contractors. Communicates regularly with Management on specific projects. Flexibility, innovation, and creativity are necessary characteristics of the successful candidate. Individual is expected to continuously learn and apply new continuous improvement methodologies, and to spread successful innovation through the institution.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Lead the development and execution of Medicare Stars initiatives across multiple departments within the organization.
Act as a subject matter expert for the Medicare Stars program.
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.
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 MA Stars program updates to key stakeholders and HAP leadership.
Manage risks and issues within the program and escalate unresolved issues to senior leadership as required.
Support procurement processing of RFPs, Vendor Contracting, Purchase Orders, and other contract-related artifacts.
For assigned projects, develops a project scope document and project plan including the gathering of information, estimates of resources required, estimated timeline for completion, background, project objectives, description of proposed approach, deliverables, and a client communication plan.
Identifies core processes for end-to-end focus and applies the use of the HAP CPMO/CI Processes, incorporating the use of CI tools (Lean, six sigma, TOC, etc.) when appropriate.
Leads and facilitates assigned initiatives, in a consulting capacity, in support of organizational improvement [within a function] that will drive or have direct impact on process improvements, reducing waste, and enhancing patient and/or customer satisfaction.
Assesses organizational performance (e.g., a function, a department, a key process, etc.) in relation to established goals and standards; recommend new approaches, policies and procedures to effect continual progress toward goals and standards.
Provides advice and consultation on “what to measure” for performance metrics. Develops process performance metrics. Documents current processes and new processes, including extended and related processes (more complex); facilitates design of new processes incorporating process improvement fundamentals (removing waste, hand-offs).
Develop improvement action plans, quantify the business benefits, and provide leadership and mentoring to ensure implementation.
With assistance on assigned projects, drives implementation of critical business metrics & ongoing end-to-end process reviews. This will include the following steps: a) Identify key processes and their indicators; b) Establish baseline metrics; c) Report through financial and business review process; and, d) Develop and maximize improvement plans.
Provides expertise using basic change management tools and methods to ensure successful and sustainable implementation of improvements.
Conducts written and oral project updates for senior management and other leaders.
EDUCATION/EXPERIENCE REQUIRED:
Bachelor’s Degree is required. A degree in industrial or related engineering, nursing, business administration (w/ quality/operations improvement emphasis), healthcare administration (w/ quality/operations improvement emphasis), organizational development, human factors or similar field is preferred.
Minimum of three (3) years of experience in organizational performance improvement. Ability to manage, simultaneous assignments with potentially conflicting priorities and deadlines.
Ability to identify when input from Director or other senior staff members is necessary.
Strong interpersonal skills; ability to communicate effectively with all levels of management and staff across the System.
Strong base of analytical/technical, facilitative, and process improvement knowledge.
Oral and written communication skills, including the ability to teach technical/analytical concepts to non-Management Services managers and staff.
Knowledge of effective data gathering techniques.
Sound decision-making skills.
Proven project management skills.
Strong diplomacy and collaboration skills.
CERTIFICATIONS/LICENSURES REQUIRED:
No certification required. Certification in some or all of the following: Lean, Six Sigma, and Supply Chain Management or equivalent industry training and experience preferred. Certification as a Malcolm Baldrige examiner a plus.
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.