CMS STAR RATINGS Project Manager

OpTech LLC • Full-time • Remote (United States) • $40 - $50 / hour • 2w ago

BUSINESS SIDE POSITION. NON- IT ROLE. 1 YEAR CONTRACT/FULL BENEFITS, POTENTIAL CONTRACT TO HIRE. I NEED SOMEONE WHO IS AN SME WITH HEDIS, AND STAR RATINGS PROGRAM WITHIN HEALTHCARE. FULLY REMOTE:

OpTech is a woman-owned company that values your ideas, encourages your growth, and always has your back. When you work at OpTech, not only do you get health and dental benefits, but you also have training opportunities, flexible/remote work options, growth opportunities, 401K and competitive pay. Apply today! To view our complete list our openings, pleas e visit our website at www.optechus.com.

RESPONSIBILITIES:

Engagement Description:

· Responsible for supporting HEDIS operations, audit activities, and continuous improvement initiatives related to the CMS Star Ratings program

· The role will collaborate with vendors and internal stakeholders to develop, implement, and monitor programs, ensuring compliance with HEDIS requirements and audit standards.

· Key duties include gathering and summarizing performance data, analyzing results to identify gaps, and driving actionable improvement plans

· The ideal candidate possesses excellent communication and project management skills, strong attention to detail, and the ability to coordinate multiple complex projects simultaneously while maintaining a focus on data integrity and regulatory compliance.

QUALIFICATIONS:

Top 3 Required Skills/Experience:

1. Working knowledge of HEDIS and Medicare Stars

2. Strong organizational skills, documentation skills, and attention to detail to develop and maintain comprehensive and detailed documentation of all project activities, issues, lessons learned, and performance reporting

3. Excellent analytical, organizational, planning, verbal, and written communication skills

Required Skills/Experience:

· Demonstrated leadership skills

· Strong project management leadership, facilitation, negotiation, team coaching, and collaboration skills

· Ability to manage multiple projects in a fast-paced environment and meet necessary deadlines

· Ability to effectively exchange information clearly and concisely, present ideas, report facts and other information, respond to questions and employ active listening techniques

· Ability to apply the principles of independent logical, analytical thinking to define problems, collect data, establish facts and draw valid conclusions

· Strong experience with Microsoft packages, including Project, PowerPoint, Word, and Excel

· Ability to build trust and demonstrates integrity in all circumstances

· Ability to work with and empower others on a collaborative basis to ensure success of unit team

· Ability to effectively present budgetary and/or cost information, and respond to questions as appropriate

· Other related skills and/or abilities may be required to perform this job

Education/Certifications – Include:

· Bachelor’s degree in a related field

· Master’s degree in a related field preferred

· Relevant combination of education and experience may be considered in lieu of degree

· Continuous learning, as defined by the Company’s learning philosophy, is required.

· Certification or progress toward certification is highly preferred and encouraged.

OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. https://www.optechus.com/eeo_self_identification/

Pay: $40.00 - $50.00 per hour

Expected hours: 40 per week

Benefits: