Senior Program Manager

Medica

Senior Program Manager at Medica leading CMS assessments and performance improvement across Medicare contracts. Collaborating cross-functionally to enhance member experience and achieve higher Stars ratings.

Posted 4/30/2026full-timeRemote • Arizona, Florida, Illinois, Iowa, Kansas, Kentucky, Minnesota, Missouri, Montana, New York, North Dakota, Oklahoma, South Dakota, Tennessee, Texas, Virginia, Wisconsin • 🇺🇸 United StatesSenior💰 $78,700 - $118,020 per yearWebsite

About the role

Key responsibilities & impact

Lead enterprise-wide strategy for CAHPS and HOS performance across Medicare contracts
Translate CMS Stars methodology and cut point trends into actionable insights and improvement plans
Partner with leaders across Quality, Stars, Member Engagement, Operations, Marketing, and Member Experience to align initiatives with Medica’s strategic roadmap
Manage end-to-end CAHPS and HOS program cycles, including survey preparation, vendor coordination, and post-survey analysis
Oversee timelines, deliverables, and compliance with CMS protocols
Develop and maintain dashboards, forecasts, and performance tracking tools
Collaborate with teams across Member Experience, Population Health, Operations, Health Equity, Provider Quality, and Communications
Facilitate provider engagement strategies to improve member experience and functional health outcomes
Support internal and external reporting, including Board updates and provider-facing materials
Monitors and analyzes member experience indicators and Medicare CAHPS survey results, identify performance drivers, and lead root cause investigations to ensure goals, objective and outcomes are met
Monitor year-over-year trends, forecast performance against CMS cut points, and recommend targeted interventions
Translate complex data into executive-level summaries and strategic recommendations
Works with health plan, providers, and vendors to review best practices, programs, and processes for improvement opportunities

Requirements

What you’ll need

Bachelor's degree or equivalent work experience
5 years of work experience beyond degree
5+ years of experience in Medicare Stars, CAHPS/HOS, or member experience strategy
One year of experience with survey design, methodology and experience measurement
7+ years of experience in Medicare Stars, CAHPS/HOS, or member experience strategy
Strong understanding of CMS Stars methodology, especially Part C and D survey measures
Proven ability to lead cross-functional initiatives and influence without direct authority across all levels of an organization
Experience coordinating and managing multiple projects and initiatives simultaneously
In-depth knowledge of Medicare products, regulations, and Star Ratings
Exceptional analytical, communication, facilitation, and presentation skills
Ability to navigate ambiguity in a complex and matrixed environment
Proven ability to think strategically and implement tactically and collaboratively
Knowledge of Microsoft Office (Word, Excel, PowerPoint, SharePoint) and reporting, database, and analytics applications
Experience with survey vendors, CMS protocols, and regulatory compliance

Benefits

Comp & perks

competitive medical, dental, vision
PTO
Holidays
paid volunteer time off
401K contributions
caregiver services

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Medicare StarsCAHPSHOSsurvey designmethodologyexperience measurementdata analysisperformance trackingregulatory complianceforecasting

Soft Skills

leadershipcommunicationfacilitationpresentationstrategic thinkingcollaborationproject managementanalytical skillsinfluencenavigating ambiguity