Program Manager – Client Quality.

One of our clients, a growing healthcare technology company specializing in improving health plan member engagement and quality outcomes, is looking to hire a Program Manager – Client Quality .

The company develops an innovative, behavioral science-driven technology platform that helps health plans improve preventive care, medication adherence, and Medicare Advantage Stars performance.

This is a hands-on, client-facing position for an experienced professional who understands Medicare Advantage Stars across multiple quality measure areas and can independently manage client quality improvement programs from planning through execution.

Key Responsibilities

• Own and manage quality improvement programs for Medicare Advantage health plan clients, including goals, work plans, performance tracking, and execution.
• Serve as a primary point of contact for clients, lead regular meetings, address questions, and ensure stakeholder alignment.
• Analyze Medicare Advantage Stars and quality performance data to identify gaps and opportunities for improvement.
• Translate data insights into actionable recommendations, make program-level decisions, and drive implementation.
• Collaborate with internal analytics, product, implementation, and client-facing teams.
• Monitor program performance, communicate progress, identify risks, and recommend next steps.
• Incorporate client feedback into ongoing program and product improvements.

Requirements

• Proven experience in Medicare Advantage Stars and quality improvement, either within a health plan or an organization providing services to health plans.
• Working knowledge of multiple Stars measure areas, including HEDIS, medication adherence, and member experience.
• Demonstrated experience independently managing quality improvement programs, setting priorities, making decisions, and driving execution.
• Strong program management and cross-functional collaboration skills.
• Excellent client relationship management and communication skills.
• Strong analytical abilities, including interpreting performance data and presenting actionable recommendations.
• Ability to manage competing priorities while maintaining accountability for program outcomes.

Experience working directly for a health plan, a healthcare advisory or service provider, or in a comparable client-facing quality management role is highly relevant.

The ideal candidate enjoys working closely with clients, takes ownership of program outcomes, and remains actively involved in execution.

Additional Information

Company location: The company's offices are located in Miami, Florida. This position can be performed remotely from anywhere in the United States, with a preference for candidates based in the Eastern or Central Time Zones.