Special Programs Manager II - Medicare Stars
Rancho Cucamonga, California
Quality Hybrid Oct. 07, 2026 2026-6997
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What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience!
Reporting to the Director of Medicare Stars, the Special Programs Manager II - Medicare Stars provides senior support in the coordination of interdepartmental system configuration and process projects focused on CMS Stars operations, regulatory compliance, and Medicare quality improvement (e.g., HEDIS, Medicare Stars, Pay for Performance, new product implementation, Quality Improvement activities, Provider risk profiles, Member and Provider surveys, data aggregation, data collection, vendor oversight, reporting, and similar items). The Special Programs Manager II - Medicare Stars is responsible for program management including initiation, planning, development, and monitoring of Special Programs implementations to ensure timely execution of deliverables and fiscal sustainability.
The Special Programs Manager II - Medicare Stars will act as a liaison between several functional departments for related activities to ensure projects and issues are tracked, updated, and reported out frequently as scheduled and will provide support to department Managers and Directors to coordinate the delivery of documents related to internal and external audits (NCQA, Medicare Readiness, CMS, compliance reviews, and similar items). The Special Programs Manager II - Medicare Stars ensures policies and procedures, requirements, change control requests, and issue management tickets are completed as necessary and available for review and provide expertise and knowledge to project management processes for release management, and interdepartmental issue response and resolution management from medium‐to-high priority / size of complexity. This position involves collaboration across technology deployments and communications of project and issue management at the Manager, Director, and Chief levels.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
Education & Requirement
A minimum of five (5) years of relevant work experience in healthcare quality and is a strategic thinker with experience in program/project management
Experience in developing plans and has application experience of standard Project Management practices
Prior experience implementing Medicare Star Measure interventions preferred
Experience with Risk Adjustment calculations and financial analysis related to Medicare Advantage membership populations preferred
Demonstrated experience managing targeted quality improvement activities
Bachelor's degree in public health, health administration, or a related field from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above
Master''s degree in public health, health administration, or a related field from an accredited institution preferred
PMP, PgMP, CBAP or PMI‐PBA preferred
Key Qualifications
Strong knowledge and understanding of:
Effective implementation of quality initiatives (e.g., quality management programs and similar programs)
Data mining and data profiling
Data analysis, quality monitoring and oversight, and promoting a data‐aware culture throughout the organization
Project management and cross‐ organization coordination
Understanding and sensitivity to a multi‐cultural environment and community
Machine learning, statistics, and informational retrieval
Developing plans and applying standard PM practices
Strongly preferred strong knowledge and understanding of:
Risk Adjustment calculations and financial analysis related to Medicare Advantage membership populations preferred
CMS quality programs, Medicare Star Ratings methodology, HEDIS, CAHPS, Pharmacy Part D measures, NCQA standards, Risk Adjustment basics, and regulatory documentation requirements
Supporting CMS audits, data validation reviews, or compliance reporting
Medicare Managed Care Manual, HPMS guidance, and CMS regulatory updates
Strong proficiency in the following areas:
Interpersonal skills
Project management and issue management skills
Microcomputer applications: spreadsheet, database, and word processing
Writing, interpersonal communication, and organizational skills
Proven ability to:
Translate data into meaningful and actionable information
Possess a high degree of patience and attention to detail
Work in a changing, fast‐paced environment
Support a culture of collaboration
Be a strategic thinker
Manage targeted quality improvement activities
Work in a diverse, demanding, and evolving environment with strong conflict and problem resolution skills
Interact with external entities and represent IEHP in a professional manner
Understand the importance of and respect the confidentiality of sensitive information
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
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| Location | Rancho Cucamonga, CA |
| Salary | $91,249.60–$120,910.40 Per Year |
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