Business Architect Consultant – Part D Stars Strategy

E-Verify Program

. Lead the execution of the Medicare Part D Stars strategy in alignment with organizational goals and CMS technical specifications.

Posted 5/8/2026full-timeKentucky, North Carolina, South Carolina, Wisconsin • 🇺🇸 United StatesSeniorLead💰 $143,616 - $229,786 per yearWebsite

Tech Stack

Tools & technologies

Tableau

About the role

Key responsibilities & impact

Lead the execution of the Medicare Part D Stars strategy in alignment with organizational goals and CMS technical specifications.
Own performance management for Part D Stars measures, including adherence, medication safety, MTM, pharmacy quality measures, and leading indicators/KPIs.
Translate annual CMS updates into operational plans and performance targets.
Support multi‑year improvement planning and monitor progress against Stars goals.
Direct development and maintenance of Stars performance dashboards and reporting for leadership and operational teams.
Partner with Stars and analytics teams to develop forecasting models, cut point scenarios, and risk assessments.
Monitor measure trends and identify emerging risks or improvement opportunities.
Collaborate with pharmacy operations, PBM partners, clinical programs, Stars and Product teams, and vendors to implement Stars improvement initiatives.

Requirements

What you’ll need

Bachelor's degree or advanced degree (where required)
8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field.
Strong working knowledge of Medicare Part D Stars measures, methodology, and CMS technical specifications.
Experience with MTM programs, adherence interventions, or pharmacy operations.
Familiarity with CMS systems and regulatory submissions (e.g., HPMS).
Experience using tools such as Power BI or Tableau.
Strong analytical and problem-solving skills with experience interpreting performance data and forecasts.
Effective written and verbal communication skills, including experience presenting to senior leaders.

Benefits

Comp & perks

Medical, dental, and vision coverage along with numerous health and wellness programs
Parental leave and support plus adoption and surrogacy assistance
Career development programs and tuition reimbursement for continued education
401k match including an annual company contribution

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Medicare Part D Stars measuresmethodologyCMS technical specificationsMTM programsadherence interventionspharmacy operationsperformance data interpretationforecasting modelsrisk assessments

Soft Skills

analytical skillsproblem-solving skillseffective communicationpresentation skills