VP Enterprise Stars and Strategy
VP Enterprise Stars and Strategy
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Job Description
Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fastgrowing company you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters not only changing lives but saving them. Together.
The Vice President Enterprise Stars will lead the national strategy & to improve and sustain Medicare Advantage Star Ratings across all markets. This role is responsible for building an enterprisewide Stars performance infrastructure including CAHPS HEDIS HOS and administrative measures. The ideal candidate brings a deep understanding of CMS methodologies a proven track record of provider and market engagement and a datafirst approach to quality improvement.This leader will also support the enterprisewide Social Determinants of Health (SDOH) strategy initiatives and reporting tied to Stars and will be responsible for identifying hiring and developing highperforming talent to ensure longterm leadership and succession planning.
Key Responsibilities
1. Enterprise Strategy &
- Define and lead the strategic roadmap for Stars performance across the organization
- Ensure alignment of Stars strategy with growth compliance and operational goals with the aim for 5 Stars
- Integrate Stars workstreams across clinical operations network finance pharmacy member experience and product
2. CMS Forecasting & Regulatory Insight
- Maintain expertise in CMS Star Ratings methodology cutpoint trends measure changes and weighting
- Lead forecasting and simulation models to anticipate performance shifts and regulatory impacts
- Translate CMS policy direction into tactical plans at the enterprise and market levels
3. Provider & Market Alignment
- Design and deploy Stars improvement strategies tailored to specific markets and provider groups
- Implement scorecards incentive models and training aligned with CAHPS and HEDIS measures
- Work closely with medical management network and market leads to embed Stars in provider performance management
4. Campaign Management & Gap Closure
- Lead targeted campaigns focused on closing gaps in care and improving member experience
- Operationalize objective key results with field admin and clinical teams for CAHPS HEDIS and HOS measures
- Monitor with clear accountability frameworks and weekly dashboards
5. Data & Performance Analytics
- Partner with data science actuarial and analytics teams to design predictive and performance models
- Monitor progress against key Stars metrics and marketspecific goals
- Present insights and recommendations to executive leadership and boardlevel stakeholders
6. Talent Management & SDOH Strategy
- Support the enterprisewide Social Determinants of Health (SDOH) strategy initiatives and reporting tied to STARS
- Identify hire and train staff members developing them into strong leaders and creating highperforming selfdirected teams
- Lead enterprise succession planning efforts to ensure a strong talent pipeline aligned with future business needs
Qualifications
Required:
- 10 years in Medicare Advantage with a focus on Stars quality improvement or regulatory performance
- Indepth knowledge of CMS Stars methodology and proven success improving CAHPS and HEDIS scores
- Strong leadership in crossfunctional environments and provider engagement
- Analytical thinker with experience using data to drive strategy forecasting and
- Bachelors degree required;
Preferred:
MPH MBA or related advanced degree
Pay Range: $198219.00 $297329.00Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability age protected veteran status gender identity or sexual orientation.
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Required Experience:
Exec
Employment Type
Full-Time
