Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in business, healthcare administration, public health, information systems, or a related field; equivalent experience considered + 5+ years of experience in healthcare operations, program delivery, eligibility management, or performance analytics + Demonstrated experience managing **eligibility criteria and file delivery** across multiple vendors or partners + Strong understanding of **in-home healthcare programs** , quality initiatives, or Stars-related workflows preferred + Proven ability to work with complex data sets, including eligibility files, member lists, and disposition data + Experience collaborating cross-functionally with IT, analytics, operations, and vendor partners + Strong analytical and problem-solving skills, with the ability to identify eligibility risks, inconsistencies, or gaps + Excellent communication skills, including the ability to explain complex eligibility logic to technical and non-technical stakeholders + Ability to manage multiple priorities and deadlines in a fast-paced, high-visibility environment + Proficiency with SQL + Proficiency with data and reporting tools (e.g., Excel, SQL, Power BI, Tableau, or similar) **Preferred Qualifications** + Experience supporting **Quality Focused Visits (QFV)** or similar quality-driven in-home programs + Familiarity with Medicare Advantage, Stars measures, and member eligibility requirements + Experience designing or managing **daily eligibility file processes** and automation initiatives + Background in vendor governance, performance monitoring, or contract support + Experience defining **eligibility logic, prioritization rules, and exclusion criteria** to minimize overlap and operational risk + Knowledge of data governance, data quality controls, and audit readiness + Experience working with APIs or automated data exchanges with external partners + Master's degree in healthcare administration, public health, data analytics, or a related field **Remote-Work-At-Home Requirements** To ensure Work-at-Home employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. **Become a part of our caring community** The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics.