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Health Quality and Stars (HQS) is an organization that is responsible for improving health outcomes and advancing the care experience of our members and provider partners through quality solutions. HQS is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS).

The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug Plans using approximately 40 measures covering preventive care screenings, health condition management, health outcomes, patient experience, and plan operations.

Location: remote of hybrid if close to Louisville

Reporting to the AVP, Stars Operations, the Stars Operations Strategist provides evidence-based strategic direction to identify and address business issues and opportunities. The role provides strategic planning support for the organization. The Stars Operations Strategy Lead requires an in-depth understanding of how the Stars Operations team capabilities and goals interrelate across the broader Health Quality and Stars organization and enterprise.

Responsibilities:

• Strategic planning support – Collaborate with Stars Operations leaders to determine and prioritize business strategies. Coordinate with leadership to complete vision / mission development and articulate strategic priorities. Maintain annual and long-term plans. Coordinate dependencies and other inter-related efforts across teams (especially when priorities conflict) and facilitate work by ensuring teams have the resources they need.

• Organizational Alignment – Ensure strategic alignment across the Stars HEDIS, CAHPS and HOS portfolio. Create structure to properly prioritize initiatives/projects that align with strategic objectives. Develop and lead the prioritization process, articulate tradeoffs and make recommendations to leadership on selection to ensure the operations team is working on the right things. 

• Manage operating cadence and business rhythm - Establish, document, and mature repeatable processes for critical business functions that occur on a regular cadence like team meetings, budget planning, strategic planning, along with the overall planning and execution tempo of the organization.

• Internal communications - Compile regular updates on business activities to generate cross-team awareness. Partner to plan leadership team meetings, all-hands meetings, and other cross-team events. Assist in shaping organizational culture, values, and expectations. Partner with culture, associate experience, communications, and other teams to leverage their expertise as appropriate.

• Executive communications - Maximize internal voice with key stakeholders. Includes preparation and after-action reviews with significant meeting forums. Responsible for setting agendas, establishing deadlines, working with presenters to develop materials, ensuring materials are high quality, owning end-to-end content review prior to the meeting, and capturing and making any necessary edits.

• Leadership effectiveness - Serve as a formal and informal adviser to improve the effectiveness of the AVP and direct reports. Help leaders carry out the organization’s vision and strategic intent at all levels. Serve a team representative where needed, identifying opportunities and drive follow-up as needed. Act as a first point of contact keeping the senior leaders aware of unanticipated problems or opportunities with identified initiatives, and a proxy for the leadership team in resolving issues.

• Monitor and evaluate organizational progress - Define, align, and track success metrics. Identify gaps and make recommendations for improvement. Establish, operate, and improve the systems that capture, track, and regularly report on work in flight, especially strategic or other cross-functional initiatives, to ensure situational awareness at all levels. Present recommendations to mitigate risks and resolve conflicts.

Use your skills to make an impact
 

Required Qualifications

• Bachelors Degree

• 7 or more years of strategy, portfolio management and/or program optimization

• Ability to work with cross functional teams, including aligned resources and operational partners 

• Executive communications experience both written and verbal

• Ability to quickly build and maintain trust with business leaders

• Demonstrated ability working within a matrixed environment and managing senior stakeholders

• Ability to present to senior level leadership

• Strong business and financial acumen