Number of Positions In Requisition

1

Job Details

The Associate Vice President, Stars will serve as the company leader on all issues related to Medicare Stars. The individual will support senior management with implementation of strategic planning, projects and activities related to Stars evaluation, projection and improvement.

Job Description

Summary
The Associate Vice President, Stars will serve as the company leader on all issues related to Medicare Stars. The individual will support senior management with implementation of strategic planning, projects and activities related to Stars evaluation, projection and improvement.

Job Duties

• Lead Medicare Stars strategy, reporting, forecasting, and performance improvement initiatives to achieve organizational quality goals.
• Serve as the organizational subject matter expert on Medicare Stars, quality measures, CMS requirements, and industry best practices.
• Direct and develop the Stars team, ensuring achievement of departmental objectives, project milestones, and service expectations.
• Provide senior leadership with regular updates, analyses, and recommendations related to Stars performance and improvement opportunities.
• Drive cross-functional collaboration to design, implement, and monitor quality initiatives that improve Medicare Stars outcomes.
• Monitor regulatory and industry developments, translating changes into actionable strategies and operational enhancements.
• Develop and deliver enterprise-wide education and training on Medicare quality, Stars measures, customer service, and compliance requirements.
• Partner with internal and external stakeholders to identify best practices, implement program enhancements, and advance organizational quality strategies.
• Oversee Stars-related regulatory documentation, audit readiness, and accreditation activities while fostering a high-performing, engaged team culture.

Minimum Qualifications

• Bachelor’s Degree
• 5 years 5 years of experience in managed care and/or indemnity insurance directly involved with data extraction, analysis and reporting functions, with a minimum of 4 years in a management position.
• 2 years Medicare Stars program management
• Relentless, results-oriented approach to measure improvement, with consistent follow-through on milestones, dependencies, risks, and corrective actions until targeted outcomes are achieved.
• Demonstrated leadership in developing and executing an enterprise-wide Medicare Stars strategy that establishes a clear path to improved measure performance and overall Star ratings.
• Ability to synthesize current and historical data from across the organization, identify performance trends and root causes, and translate findings into prioritized, measure-specific improvement strategies.
• Strong command of Medicare Stars methodology, measure specifications, rating projections, quality improvement practices, and the operational levers that influence performance.
• Ability to establish and lead a disciplined daily operating cadence with key contributors, using focused meetings to review results, address barriers, confirm ownership, and accelerate execution.
• Proven ability to align and influence cross-functional partners across quality, clinical operations, pharmacy, analytics, provider engagement, member experience, finance, compliance, and other relevant areas.
• Strong problem-solving, quantitative, and analytical skills, including the ability to evaluate data quality, interpret complex performance information, and make timely, evidence-based decisions.
• Ability to create and communicate clear Medicare Stars reports, projections, dashboards, charts, and executive-level presentations that convert technical findings into actionable business priorities.
• Exceptional written and oral communication skills, including the ability to lead effective group discussions, explain technical concepts to non-technical audiences, and translate business needs for technical teams.
• Demonstrated project and change leadership skills, with the ability to manage multiple priorities, maintain accountability across workstreams, and adapt rapidly as performance needs or CMS requirements change.
• Proven ability to lead, mentor, and manage highly skilled staff while fostering collaboration, initiative, transparency, and sustained focus on organizational goals.

Preferred Qualifications

• Master’s Degree

Additional Qualifications

Physical Demands
Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Health Partners Plans, Inc.

Primary Location Address

1101 Market, Philadelphia, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.    

Jefferson is committed to providing equal educa­tional and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. 

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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