Executive Director, Stars Strategy

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Job Summary

The Executive Director of STAR Strategy plays a pivotal role in advancing the quality performance and operational excellence of a Medicare Advantage organization. This senior leader is responsible for developing, executing, and overseeing enterprise-wide strategies aimed at achieving and sustaining high STAR Ratings—an essential driver of plan reputation, member retention, and market competitiveness.
This role is critical to the financial health and growth of the Medicare Advantage line of business. High STAR Ratings directly translate into increased quality bonus payments, expanded benefit enhancement opportunities. The Executive Director ensures the organization remains competitive in a rapidly evolving landscape by maintaining a relentless focus on quality, innovation, and member outcomes.

Job Responsibilities:

• Support senior leadership in developing and executing on strategic and reporting roadmap for Stars organization
• Perform analysis of HCSC performance for aligned Stars measures, gap identification, and gap remediation strategies and initiatives across measures
• Ensure remediation and implementation of any CMS guidance or regulatory changes
• Manage governance and oversight activities for aligned Star measure categories, establish and maintaining a regular cadence of touchpoints with key internal and external stakeholders across the enterprise to share progress against target performance and rating goals, and identify / address issues and escalations
• Manage a team of SME resources aligned to key Star domains and responsible for overseeing performance of key business stakeholders on activities related to Star measures and initiatives, root cause analysis for performance gaps, and developing and managing the execution of gap remediation strategies for their areas of expertise
• Strategic Leadership: Design and lead cross-functional initiatives to improve STAR performance across clinical, operational, pharmacy, customer service, and member engagement domains.
• Data-Driven Management: Use advanced analytics to identify performance gaps, track KPIs, and prioritize interventions that yield the highest impact on CMS STAR measures.
• Collaboration & Integration: Partner with departments such as Quality, Population Health, Risk Adjustment, IT, and Provider Relations to align STAR initiatives with broader organizational goals and value-based care models.
• Regulatory Insight: Ensure full compliance with CMS guidelines and anticipate regulatory changes that may affect STAR Ratings. Translate policy shifts into actionable business plans.
• Member-Centric Focus: Lead initiatives to improve member experience, access to care, medication adherence, and preventive services—all of which directly affect STAR Ratings.

Required Job Qualifications: 

• Bachelor Degree OR 9 years of experience in the health care industry
• 5 years of Group Medicare experience 
• 3 years in implementation (pre and post) 
• Experience in customer/member experience 
• Experience with strategic planning, strategy development, project management and/or analytics and research 

*Please note, this is a hybrid role in the assigned office 3 days/week

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.  Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$158,300.00 - $293,800.00