Program Manager, Consultant - Member Experience

Your Role

The Medicare Star Performance team is responsible for achieving sustainable Medicare Advantage and 4 Star performance . The Program Manager, Consultant – Member Experience will report to the Director of Medicare Star Strategy and Performance. In this role you will implement programs and processes designed to improve member experience within our Medicare Advantage delivery systems. You will also be responsible for leading market initiatives to address member perceptions and enhance Blue Shield of California performance on Consumer Assessment of Healthcare Providers and systems (CAHPS) and Health Outcomes Survey (HOS). This is a field based position and will require visits with assigned delivery systems in person.

Your Knowledge and Experience

• Requires a bachelor’s degree or equivalent experience
• Requires at least 7 years of prior relevant experience
• Requires 3+ years of experience in healthcare quality improvement, provider engagement, or Medicare Advantage performance initiatives
• Requires familiarity with CMS regulations and Medicare Advantage programs
• Requires a proven track record of leading successful provider engagement and member experience initiatives
• Requires experience in facilitating peer-to-peer learning opportunities among providers to drive innovation and continuous improvement
• Requires expertise in analyzing and applying survey data (CAHPS, HOS, NPS) to drive performance improvement