Director Quality and Stars Performance
Blue Cross Blue Shield Kansas

This position will oversee the strategic direction, implementation and ongoing management of the Stars program for Medicare Advantage, Medicare Prescription Drug, and ACA Individual Plans. Responsibilities include navigating regulatory requirements, leading program initiatives, monitoring operational performance, and fostering collaboration with internal and external stakeholders to ensure program success while adhering to regulatory requirements, budget, time and quality parameters.

This position is eligible to work remotely, hybrid or onsite in accordance with our Telecommuting Policy. Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment.

Posting:
Why Join Us?
• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Lead and Inspire: Guide and mentor your team to achieve their full potential and success.
• Family Comes First: Total rewards package that promotes the idea of family first for all employees.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Trust: Work for one of the most trusted companies in Kansas
• Stability: 80 years of commitment, compassion and community
• Flexibility: options to work onsite, hybrid or remote available
• Balance: paid vacation and sick leave with paid maternity and paternity available immediately upon hire
• Inclusive Work Environment: We pride ourselves on fostering a diverse and inclusive workplace where everyone is valued and respected.
• Innovative Technology:

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

What you'll do:

• Develop a multi-year Stars strategy that is refreshed annually and adjusted throughout the year to ensure we achieve our Stars goals.
• Responsible for the performance of a matrixed team of cross-divisional internal and external stakeholders whom execute the strategy through programs and initiatives.
• Monitor and analyze the changing Medicare landscapes and recommended programs and policies to proactively address the changing needs of our membership as it relates to Stars.
• Oversees and monitors the implementation of new Medicare and ACA Stars contractual and policy requirements, new legislation and regulations.
• May involve preparation of presentations and materials for professional partnering meetings, seminars, conferences, the Steering Committee and the Board.

• Bachelor's degree, preferably in Business Administration, Economics or Public Health. In lieu of a degree, 6 years in the health care delivery industry.
• Previous experience in the Medicare Stars program is preferred.
• Experienced in strategic management and leadership directing substantial resources required

• A thorough understanding of the Medicare Stars program is preferred.
• Demonstrated track record of leading and delegating to a team with accountability and successful achievement of financial results.
• A strong operational mindset and business acumen that adds recognizable value on matters related to the vision and strategy of the organization.
• Able to quickly shift strategies based on evolving market conditions. Responds to complicated challenges with speed and accuracy by presenting unique alternatives that mitigate risk and create competitive advantages.
• Comfortable leading in a highly matrixed, cross functional organization.
• Results oriented in approach to problem solving. Will be open and fair and willing to engage others in issues that may be potentially controversial and be responsive when communicating with those who may have dissenting opinions.