Head of Medicare Performance Hub
Ladders · United States · 4 wk ago
RemoteRemoteBusiness Development$198k–$278k/yrFull-time
For our client, we are seeking a Head of Medicare Performance Hub to join the team of a leader in the Healthcare space. This leader will own the strategy, operating model, and governance for a Medicare performance program that helps health plans improve outcomes across Stars, Risk Adjustment, and related performance measures. The role will translate complex Medicare Advantage data into actionable insights, partner across analytics and consulting teams, and drive accountability for plan improvement. It will also serve as a key point of coordination for multi-stakeholder efforts that support executive decision-making and measurable performance gains. Location: Remote - US based candidates only, no visa sponsorship available Compensation: $198,175 – $278,053 annually Responsibilities Lead the design and management of the Medicare performance hub Develop and execute the operating model and governance framework Proactively identify benchmarks for Stars and Risk Adjustment performance Deliver member-level insights to health plans through dashboards and consultations Coordinate with analytics partners to integrate performance data Establish accountability structures for plan performance and corrective actions Monitor plan Stars performance and develop strategies for improvement Qualifications BS or equivalent experience required; MS in a relevant field preferred 12+ years of experience in Medicare Advantage program management or managed care performance improvement Expertise in CMS Star Ratings, Risk Adjustment, or Medical Cost Management Experience managing complex, multi-stakeholder programs involving health plans and analytic vendors Deep understanding of Medicare Advantage data flows and CMS reporting requirements Strong project management skills across multiple workstreams Excellent communication skills, including experience presenting to executives Benefits Comprehensive medical, dental, and vision insurance Generous 401(k) matching Paid time off, including 11 holidays Lifestyle spending account Eligibility for annual bonus incentive pay Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.