Stars Manager - Member Experience (Hybrid)
CareFirst BlueCross BlueShield - Baltimore, MD
Hiring: Stars Manager - Member Experience (Hybrid) Company: CareFirst BlueCross BlueShield Location: Baltimore, MD Job Posted Time: 2026-09-10 11:49:28 Target Skills & Keywords : Medicare About the job Experience: •5 years of progressive responsibility in a healthcare payor environment. 1 year of supervisory or demonstrated progressive leadership experience within Government Programs. Required Skills: •Manages, develops, and leads a team responsible for driving member experience improvement in a matrixed organization environment. •Develops and oversees strategy and execution of enterprise CAHPS strategy and initiatives. •Analyzes key data points (such CAHPS survey results, Pulse survey results, complaints, grievances, call center data) to develop strategy •Owns cross-functional relationships and works with key partners to drive member experience improvement that crosses multiple functional areas. •Develop provider engagement strategy for CAHPS improvement. •Oversee member experience surveys for all LOBs, including regulatory and non-regulatory surveys. •Scale Medicare Advantage solutions for member experience across all lines of business. •This position manages people. Qualifications: •The Manager, Stars (Member Experience) leads a team and is responsible for the design, launch, and execution of cross-functional programs that support member experience and retention initiatives to improve the quality of care and member experience, resulting in 4 Star Ratings for Medicare Advantage plans. •Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. •Master's in business administration, Master's in health administration, or Master's in public/Population health. •Knowledge, Skills And Abilities (KSAs) •Expert knowledge of all regulatory guidelines on CMS Star Rating methodologies. •Skilled in successfully planning and leading presentations to internal and external stakeholders, and C-suite with a focus on CMS Stars. •Demonstrated capacity to work in a fast-paced environment and drive consistent actions across a matrixed environment. Compensation: •$108,000 - $200,475 / year •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!