Job Description

Executive Director, Stars Strategy page is loaded

Executive Director, Stars Strategy

Apply locations IL - Chicago TN - Nashville TX - Richardson time type Full time posted on Posted 15 Days Ago time left to apply End Date: August 31, 2025 (16 days left to apply) job requisition id R0043641

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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 Ratingsan 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 servicesall 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 .

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

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For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities.

Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who arent afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity youll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants.

If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations.

Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to candidate home to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas,
Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association

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Job Tags

Full time, Work at office, Shift work, 3 days per week,

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