Quality & Stars Program Manager

Honeycomb Management Group is a Managed Services Organization and manages primary care practices and specialty care practices with multiple locations in Memphis, Tennessee and Mississippi.

Join us to advance your healthcare career by providing compassionate patient-centered care that transforms lives. We are committed to supporting your professional growth through a collaborative work environment dedicated to excellence.

The Quality & Stars Program Manager owns the Medicare Advantage Star performance of the value-based primary care practice operated by Honeycomb Management Group — the clinical and patient-experience measures that drive our payers’ CMS Star Ratings and, in turn, our quality bonuses, shared savings, and value-based incentive payments. Honeycomb does not hold its own Star Rating, but our gap closure, medication adherence, and patient-experience results feed directly into our payers’ ratings and determine what we earn under our value-based contracts.

This position requires at minimum a bachelor’s degree in nursing, health administration, public health, or related field with three (3) years of experience in healthcare quality, population health, HEDIS, or Medicare Stars improvement – ideally in a provider group, IPA, ACO, or MA plan setting.

Key Responsibilities:

Quality measure & HEDIS gap closure

• Own the practice’s care-gap closure program across all identified Medicare and Medicare Advantage contracts, prioritizing by financial impact and measure weight.
• Maintain a current, payer-by-payer view of open gaps and translate them into actionable worklists for providers, MAs, and care coordinators.
• Drive preventive and chronic-care measure performance (e.g., cancer screenings, diabetic eye exams and kidney screening for diabetic patients, blood pressure control, statin therapy). 

Medication adherence (Part D / PQA)

• Manage performance on the high-weight Part D adherence triad — diabetes medications, statins, and RAS antagonists — and related PQA measures.
• Partner with providers and pharmacies on adherence interventions, refill synchronization, and Medication Therapy Management referrals.

Patient experience (CAHPS / HOS)

• Lead practice-level initiatives that support payer CAHPS and Health Outcomes Survey results — access, care coordination, communication, and overall experience.
• Identify operational friction points (scheduling, wait times, follow-up) that depress experience scores and partner with operations to resolve them.

Payer & data management

• Serve as the operational point of contact for payer quality teams and reconcile each payer’s gap and scorecard data against Honeycomb’s internal records.
• Maintain dashboards tracking year-to-date performance against contract targets and projected incentive earnings.
• Coordinate accurate, timely supplemental data submission (charts, labs, results) to ensure earned gap closures are credited. 

Provider & care team engagement

• Educate and engage providers and staff on measure specifications, documentation requirements, and their role in Star performance.
• Build measure performance into routine team huddles, panel reviews, and pre-visit planning workflows.
• Support new providers and new locations (e.g., Honeycomb South) in adopting standardized quality workflows from day one.
• Perform other duties as required.

Minimum Qualifications:

·         Bachelor’s degree in nursing, health administration, public health, or related field (equivalent experience considered).

·         Three (3) or more years in healthcare quality, population health, HEDIS, or Medicare Stars improvement — ideally in a provider group, IPA, ACO, or MA plan setting.

·         Working knowledge of CMS Star Ratings, HEDIS, PQA / Part D adherence measures, and value-based contract structures.

·         Strong data fluency: comfort working in EHRs, payer portals, and spreadsheets / BI tools to manage gap lists and track performance.

·         Demonstrated ability to drive cross-functional improvement and influence clinical staff.

·         Experience in a value-based primary care or geriatric-focused practice preferred.

·         Familiarity with risk adjustment / HCC coding workflows are a plus.

·         Clinical license (RN, LPN) / quality credential (e.g., CPHQ) preferred.

·         Experience implementing quality programs at new or growing sites preferred.

Physical Requirements:

The physical activities of this position may include traveling, climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. Must have good balance and coordination. The physical requirements of this position are medium work - exerting up to 50 lbs. of force occasionally and/or up to 25 lbs. of force frequently. The Quality & Stars Program Manager is required to have close visual acuity including color, depth perception, and field of vision to perform an activity, such as assessing patients, and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. Potential invasive and non-invasive patient contact. Potential exposure to patient body fluids as well as exposure to hazardous or poisonous materials.

Benefits:

401(k) matching

Dental insurance

Employee assistance program

Employee discount

Health insurance

Life insurance

Paid time off

Vision insurance