Jobs · Quality Assurance

Senior Healthcare Quality Consultant - Medicare (Seattle Health)

Milliman · Seattle, WA · 1 mo ago
RemoteRemoteQuality Assurance$147k–$280k/yrFull-time
We need to output HTML fragment with sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title as heading. Must not include Job ID etc. Must remove boilerplate. Must preserve all substantive info. We need to parse the posting. Key parts: - Opening paragraph: "This role is a senior consultant within Milliman’s growing Medicare quality and Star Rating practice, supporting both client engagements and the Milliman Star Rating Market Intelligence product. The successful candidate will bring deep expertise in Medicare Advantage Star Ratings, health plan quality operations, and performance improvement, including significant experience with CAHPS, HOS and member experience. The position combines senior client advisory work with leadership of complex consulting engagements, mentorship of consulting staff, and business development, as well as an active role in developing and expanding Milliman’s Medicare quality and Star Rating consulting capabilities." That's about the role. - "About Our Practice" paragraph: description of practice, team size, mentor program, etc. Could be part of About the role or separate? The instruction: use headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can put the description under About the role. - "What You Will Do" list: bullet points (starting with "Serve as a senior consultant advising..." etc). That's Responsibilities. - "Professional Qualifications" section: bullet list of qualifications (Bachelor's degree required, 7+ years..., etc). That's Requirements/Qualifications? The instruction: Use Requirements and Qualifications headings separately? They said sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we need to split qualifications into Requirements (maybe mandatory) and Qualifications (maybe preferred). The posting has "Professional Qualifications" (mandatory) and "Preferred Qualifications". Also "Personal Qualifications". So we need to map. We have: Professional Qualifications (mandatory): - Bachelor’s degree required. - 7+ years of healthcare quality, Medicare Advantage, health plan operations, or related experience, including substantial experience focused on Medicare Advantage Star Ratings. - Demonstrated experience developing and implementing quality improvement strategies and interventions, rather than solely measuring or reporting performance. - Significant experience with HEDIS, CAHPS and HOS performance improvement, including understanding of the operational drivers of results and approaches to improving performance. - Strong analytical background, with experience translating data into actionable recommendations for health plan clients. Personal Qualifications (maybe under Qualifications?): - Self-directed and comfortable operating independently as a senior, client-facing advisor. - Willingness to mentor junior staff and share expertise informally. - Interest in growing a practice through new and expanded client relationships. - Ability to communicate complex quality and regulatory issues clearly and practically. Preferred Qualifications: - Experience representing an organization at industry conferences and professional events, including speaking, panel participation, or educational presentations on Medicare Advantage quality or Star Ratings topics. - Advanced degree in healthcare administration, public health, business administration, health policy, nursing, or a related field. - Experience developing new consulting offerings or building a Medicare quality or Star Ratings practice. - Experience working in both a Medicare Advantage health plan environment and a healthcare consulting or advisory environment. - Experience conducting or contributing to healthcare quality research and industry publications. - Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. - The expected application deadline for this job is October 30, 2026. (maybe metadata, we can drop or put in short p) - Location: This position is based out of the Milliman office in Seattle, WA. It is preferred that this employee work in-office, but remote candidates anywhere in the US will be considered. (maybe schedule? Not schedule but location; we could put under About the role or maybe a separate section? Not in list; we could incorporate into About the role as a short p.) Compensation: salary ranges. Benefits: list. We need to include Pay section if compensation present. Yes. Schedule: Not mentioned; no schedule info. So we should not include Schedule heading. Skills: Not explicitly listed; maybe we could infer from qualifications but we should not invent. If no explicit skills section, we should omit Skills heading. Thus sections: About the role, Responsibilities, Requirements (mandatory professional qualifications), Qualifications (personal + preferred?), Benefits, Pay. But we need to decide mapping: Requirements could be the mandatory professional qualifications. Qualifications could be personal qualifications + preferred qualifications. Or we could split: Requirements = mandatory professional qualifications; Qualifications = personal qualifications; Preferred qualifications maybe could be included under Qualifications as well, but we need to avoid thin sections. Could combine personal and preferred under Qualifications. Better: Requirements = mandatory professional qualifications. Qualifications = personal qualifications + preferred qualifications (since both are qualifications). That seems reasonable. We must not include filler like "commensurate with experience". Not present. We must preserve all substantive info. So we need to include all bullet points. We need to format as HTML: use

for section headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We must not include markdown fences. We need to output only HTML fragment. Let's craft. First, About the role: combine opening paragraph + About Our Practice + Location maybe. Opening paragraph: "This role is a senior consultant within Milliman’s growing Medicare quality and Star Rating practice, supporting both client engagements and the Milliman Star Rating Market Intelligence product. The successful candidate will bring deep expertise in Medicare Advantage Star Ratings, health plan quality operations, and performance improvement, including significant experience with CAHPS, HOS and member experience. The position combines senior client advisory work with leadership of complex consulting engagements, mentorship of consulting staff, and business development, as well as an active role in developing and expanding Milliman’s Medicare quality and Star Rating consulting capabilities." About Our Practice: "Milliman’s Seattle Health Practice partners with a broad spectrum of organizations, including insurance companies, health plans, government agencies, healthcare providers, reinsurers, Accountable Care Organizations (ACOs), health technology firms, and employers. Our team includes over 180 actuarial professionals, supported by expert consultants, IT specialists, and dedicated operations staff. Join Milliman and collaborate with some of the most accomplished professionals in the health industry. Our mentor program ensures you have a dedicated colleague to guide your career growth, providing the support and resources you need to thrive. For motivated candidates, this is an exceptional opportunity to advance professionally while making a meaningful impact in healthcare." Location: "This position is based out of the Milliman office in Seattle, WA. It is preferred that this employee work in-office, but remote candidates anywhere in the US will be considered." We can combine into a few paragraphs. Now Responsibilities: list from "What You Will Do". Each bullet starts with a verb. We'll put each as

  • . Responsibilities list: - Serve as a senior consultant advising Medicare Advantage organizations on Star Ratings strategy, quality improvement and operational performance. - Lead consulting engagements focused on CAHPS, HOS and member experience, including assessment of performance drivers, development of improvement strategies, and design and implementation of targeted interventions. - Advise clients across the broader Medicare Star Ratings program, translating measure performance and regulatory changes into operational priorities and actionable improvement plans. - Work across health plan functions, including quality, member experience, clinical operations, provider engagement, pharmacy, customer service, analytics, and executive leadership, to identify and address barriers to performance. - Develop and strengthen governance structures, workplans, performance monitoring approaches, and accountability processes that support sustained quality improvement. - Combine quantitative analysis with operational knowledge to interpret quality performance and identify practical opportunities for improvement. - Contribute subject matter expertise to Milliman research, analytics, and thought leadership related to Medicare quality, CAHPS, HOS, and Star Ratings. - Help expand Milliman's Medicare quality and Star Ratings consulting capabilities, including new service offerings and client solutions. - Mentor consultants, providing informal guidance and knowledge-sharing without formal management responsibility. - Participate in business development activities, including identifying opportunities and contributing to proposals for prospective and existing clients. Now Requirements (mandatory professional qualifications): list. - Bachelor’s degree required. - 7+ years of healthcare quality, Medicare Advantage, health plan operations, or related experience, including substantial experience focused on Medicare Advantage Star Ratings. - Demonstrated experience developing and implementing quality improvement strategies and interventions, rather than solely measuring or reporting performance. - Significant experience with HEDIS, CAHPS and HOS performance improvement, including understanding of the operational drivers of results and approaches to improving performance. - Strong analytical background, with experience translating data into actionable recommendations for health plan clients. Now Qualifications: combine personal qualifications and preferred qualifications. Personal qualifications: - Self-directed and comfortable operating independently as a senior, client-facing advisor. - Willingness to mentor junior staff and share expertise informally. - Interest in growing a practice through new and expanded client relationships. - Ability to communicate complex quality and regulatory issues clearly and practically. Preferred qualifications: - Experience representing an organization at industry conferences and professional events, including speaking, panel participation, or educational presentations on Medicare Advantage quality or Star Ratings topics. - Advanced degree in healthcare administration, public health, business administration, health policy, nursing, or a related field. - Experience developing new consulting offerings or building a Medicare quality or Star Ratings practice. - Experience working in both a Medicare Advantage health plan environment and a healthcare consulting or advisory environment. - Experience conducting or contributing to healthcare quality research and industry publications. - Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future. - The expected application deadline for this job is October 30, 2026. (maybe we keep as a short p? It's metadata but maybe we can include as a short p under Qualifications? The instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

    or drop it. So we can include this as a short p under Qualifications or maybe under About the role? Better to put a short p after the list: "

    Application deadline: October 30, 2026. Candidates must be legally authorized to work in the United States without sponsorship.

    " That folds metadata. Now Benefits: list from benefits paragraph. Benefits list: - Medical, Dental and Vision – Coverage for employees, dependents, and domestic - Employee Assistance Program (EAP) – Confidential support for personal and work-related - 401(k) Plan – Includes a company matching program and profit-sharing - Discretionary Bonus Program – Recognizing employee - Flexible Spending Accounts (FSA) – Pre-tax savings for dependent care, transportation, and eligible medical expenses. - Paid Time Off (PTO) – Begins accruing on the first day of Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis. - Holidays – A minimum of 10 paid holidays per - Family Building Benefits – Includes adoption and fertility - Paid Parental Leave – Up to 11 weeks of paid leave for employees who meet eligibility - Life Insurance & AD&D – 100% of premiums covered by - Short-Term and Long-Term Disability – Fully paid by The benefits text seems truncated; we need to preserve as is. We'll keep each bullet as given. Now Pay: compensation details. We need to include the salary ranges. Compensation paragraph: "The overall salary range for this role is $147,400 - $279,680. For candidates residing in: Alaska, California, Connecticut, Illinois, Maryland, Massachusetts, New Jersey, New York City, Newark, San Jose, San Francisco, Pennsylvania, Virginia, Washington, or the District of Columbia the salary range is $169,510 - $279,680All other locations the salary range is $

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