{"schemaVersion":"jobsearcher.job.v1","id":"757fd5d201e2f656ee2208ea","url":"https://jobsearcher.com/jobs/757fd5d201e2f656ee2208ea","canonicalUrl":"https://jobsearcher.com/jobs/757fd5d201e2f656ee2208ea","title":"Program Coordinator","description":"Under the leadership and direction of the Vice President Quality Improvement, the Quality Stars Program Coordinator will focus on the clinical operations for Medicare Star initiatives and other quality improvement initiatives that interface with Clinical Services, Pharmacy, Quality Improvement and the Medical Economics Departments. This position is responsible for data analysis and reporting to identify trends, gaps in care, and opportunities for improvement. Conducts outreach to members and providers to improve adherence to measures. Reviews and analyzing member and provider complaints along with survey results to improve outcomes. Interfaces with the Provider Operations and Provider Experience teams for quality provider initiatives and provider education. See job description attached.\r\nRequired\r\nBachelor's degree or equivalent healthcare industry experience (five years).\r\nMinimum of two years of experience related to any of the following: Managed Care, Medicare Stars, HEDIS, CAHPS, HOS.\r\nHas the ability to prioritize and pivot to achieve goals with minimal supervision.\r\nAbility to build working relationships with internal staff and external stakeholders including community and vendor partners.\r\nDesired\r\nMedicare Star Ratings experience with the ability to analyze and interpret cut point predictions.\r\nResponsibilities\r\nWorks with VP, Quality Improvement and Clinical Quality Stars Program Manager to learn and apply the Medicare Part C&D Star Ratings Technical Notes.\r\nCommunicates with the Medical Economics Department and the Clinical Quality Stars Program Manager to obtain ongoing HEDIS and Stars data collections to support SMART goals.\r\nWorks with internal departments to identify opportunities for improvement, gap closure and facilitates the development of member and provider clinical data driven initiatives to promote optimal member outcomes and provider best practices.\r\nAssists with tracking systems for reporting KPIs for the evaluation of activities and the effectiveness related to program initiatives and other performance/quality improvement projects.\r\nInterfaces with the Provider Operations and Provider Experience teams for quality provider initiatives and provider education.\r\nUsing the PDSA cycle, identifies barriers and opportunities for improvement related to Star ratings, NCQA, CAHPS and HOS surveys and other member experience or quality metrics.\r\nAssists to development training and educational material that directly impacts quality initiatives.\r\nParticipates in quality improvement meetings and committees/subcommittees and focus groups.\r\nHours: 8:00am - 5:00pm\r\nPositions available: 40\r\nJ-18808-Ljbffr","company":"Health Plan Thp","rawCompany":"health plan thp","city":"Bethlehem","state":"WV","isRemote":false,"isActive":false,"createdAt":"2026-08-08T01:30:12.310Z","occupations":[{"code":"11-3051.01","title":"Quality Control Systems Managers","slug":"quality-control-systems-managers"},{"code":"11-9111.00","title":"Medical and Health Services Managers","slug":"medical-and-health-services-managers"},{"code":"11-9151.00","title":"Social and Community Service Managers","slug":"social-and-community-service-managers"}],"industries":[{"code":"923120","title":"Administration of Public Health Programs","slug":"administration-of-public-health-programs"},{"code":"524292","title":"Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds","slug":"pharmacy-benefit-management-and-other-third-party-administration-of-insurance-and-pension-funds"},{"code":"622110","title":"General Medical and Surgical Hospitals","slug":"general-medical-and-surgical-hospitals"}],"jobPosting":{"@context":"https://schema.org","@type":"JobPosting","title":"Program Coordinator","description":"Under the leadership and direction of the Vice President Quality Improvement, the Quality Stars Program Coordinator will focus on the clinical operations for Medicare Star initiatives and other quality improvement initiatives that interface with Clinical Services, Pharmacy, Quality Improvement and the Medical Economics Departments. This position is responsible for data analysis and reporting to identify trends, gaps in care, and opportunities for improvement. Conducts outreach to members and providers to improve adherence to measures. Reviews and analyzing member and provider complaints along with survey results to improve outcomes. Interfaces with the Provider Operations and Provider Experience teams for quality provider initiatives and provider education. See job description attached.\r\nRequired\r\nBachelor's degree or equivalent healthcare industry experience (five years).\r\nMinimum of two years of experience related to any of the following: Managed Care, Medicare Stars, HEDIS, CAHPS, HOS.\r\nHas the ability to prioritize and pivot to achieve goals with minimal supervision.\r\nAbility to build working relationships with internal staff and external stakeholders including community and vendor partners.\r\nDesired\r\nMedicare Star Ratings experience with the ability to analyze and interpret cut point predictions.\r\nResponsibilities\r\nWorks with VP, Quality Improvement and Clinical Quality Stars Program Manager to learn and apply the Medicare Part C&D Star Ratings Technical Notes.\r\nCommunicates with the Medical Economics Department and the Clinical Quality Stars Program Manager to obtain ongoing HEDIS and Stars data collections to support SMART goals.\r\nWorks with internal departments to identify opportunities for improvement, gap closure and facilitates the development of member and provider clinical data driven initiatives to promote optimal member outcomes and provider best practices.\r\nAssists with tracking systems for reporting KPIs for the evaluation of activities and the effectiveness related to program initiatives and other performance/quality improvement projects.\r\nInterfaces with the Provider Operations and Provider Experience teams for quality provider initiatives and provider education.\r\nUsing the PDSA cycle, identifies barriers and opportunities for improvement related to Star ratings, NCQA, CAHPS and HOS surveys and other member experience or quality metrics.\r\nAssists to development training and educational material that directly impacts quality initiatives.\r\nParticipates in quality improvement meetings and committees/subcommittees and focus groups.\r\nHours: 8:00am - 5:00pm\r\nPositions available: 40\r\nJ-18808-Ljbffr","datePosted":"2026-08-08T01:30:12.310Z","dateModified":"2026-08-08T01:30:12.310Z","hiringOrganization":{"@type":"Organization","name":"Health Plan Thp","sameAs":"https://jobsearcher.com"},"jobLocation":{"@type":"Place","address":{"@type":"PostalAddress","addressLocality":"Bethlehem","addressRegion":"WV","addressCountry":"US"}},"identifier":{"@type":"PropertyValue","name":"JobSearcher","value":"757fd5d201e2f656ee2208ea"},"url":"https://jobsearcher.com/jobs/757fd5d201e2f656ee2208ea"}}