Vice President, Medicare Stars, Risk Adjustment

Blue Cross Blue Shield of Massachusetts

Vice President of Stars & Risk Adjustment Performance at Blue Cross Blue Shield of Massachusetts overseeing Medicare initiatives. Directing strategies to enhance performance and engagement within the Medicare Advantage business.

Posted 5/9/2026full-timeBoston • Massachusetts • 🇺🇸 United StatesLead💰 $276,930 - $338,470 per yearWebsite

About the role

Key responsibilities & impact

direct and monitor all Stars and Risk Adjustment initiatives to achieve optimal outcomes.
develop a unified strategy to drive efficiency and effectiveness across both programs.
leverage data and analytics to improve performance.
maximize provider engagement to support financial goals.
collaborate with key stakeholders to communicate program results and advocate for Medicare business interests in cross-functional projects.
influence a wide range of partners including clinical, quality, analytics, member experience, and provider relations teams.

Requirements

What you’ll need

A minimum of 15 years of leadership experience in Medicare Advantage Stars and/or Risk Adjustment.
Expert knowledge of Medicare Advantage Stars, Risk Adjustment, Provider Contracting, Product Development, Operations, Finance, and Analytics.
In-depth understanding of the Medicare Part D program, including operations, practices, and industry trends.
Demonstrated strength in analysis, problem identification, and resolution.
Proficiency with Medicare data and system interfaces.
Proven ability to collaborate with corporate planning leaders to execute a strategic plan.
Strong financial and analytical skills.
Excellent written, verbal, and interpersonal communication skills.
Ability to lead and manage deliverables through others in a highly matrixed environment.
Demonstrated ability to take ownership of problems and independently develop solutions.
High degree of professionalism with the ability to interact effectively with all levels of the organization and external parties.
Highly organized and capable of managing multiple projects simultaneously.

Benefits

Comp & perks

comprehensive package of benefits including paid time off
medical/dental/vision insurance
401(k)
wellness benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medicare Advantage StarsRisk AdjustmentProvider ContractingProduct DevelopmentOperationsFinanceAnalyticsMedicare dataSystem interfaces

Soft Skills

leadershipanalysisproblem identificationproblem resolutioncollaborationcommunicationownershipprofessionalismorganizationproject management