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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare Advantage Star Ratings, quality improvement strategies, and operational performance within healthcare settings. Capable of translating complex regulatory changes into actionable plans while mentoring junior staff and contributing to business development.
Highest-signal resume keywords
Medicare Advantage Star RatingsQuality Improvement StrategiesHEDIS Performance ImprovementAnalytical SkillsHealthcare Consulting
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality ImprovementOperational PerformanceData AnalysisPerformance MonitoringRegulatory ComplianceClient ProposalsGovernance StructuresPerformance DriversConsulting EngagementsHealthcare Quality Research
Soft Skills
MentoringCommunicationCollaborationSelf-DirectedClient-Facing
Industry Keywords
Medicare AdvantageCAHPSHOSHEDISHealthcare OperationsQuality MetricsMember ExperienceHealthcare AdministrationPublic HealthHealth Policy
About the role
Key responsibilities & impact- Advise Medicare Advantage organizations on Star Ratings strategy, quality improvement, and operational performance
- Lead consulting engagements focused on CAHPS, HOS, and member experience
- Assess performance drivers and develop and implement targeted improvement strategies and interventions
- Translate measure performance and regulatory changes into operational priorities and actionable improvement plans
- Collaborate across quality, member experience, clinical operations, provider engagement, pharmacy, customer service, analytics, and executive leadership functions
- Develop governance structures, workplans, performance monitoring approaches, and accountability processes
- Combine quantitative analysis with operational knowledge to identify practical improvement opportunities
- Contribute subject matter expertise to Milliman research, analytics, and thought leadership
- Help expand Milliman’s Medicare quality and Star Ratings consulting capabilities, service offerings, and client solutions
- Mentor consultants through informal guidance and knowledge-sharing
- Participate in business development, identify opportunities, and contribute to client proposals
Requirements
What you’ll need- Bachelor’s degree required
- 7+ years of healthcare quality, Medicare Advantage, health plan operations, or related experience
- Substantial experience focused on Medicare Advantage Star Ratings
- Experience developing and implementing quality improvement strategies and interventions
- Significant experience with HEDIS, CAHPS, and HOS performance improvement
- Understanding of operational drivers of quality results and approaches to improving performance
- Strong analytical background and ability to translate data into actionable recommendations
- 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
- Legally authorized to work in the United States without immigration support or sponsorship
- Preferred: experience representing an organization at industry conferences and professional events
- Preferred: advanced degree in healthcare administration, public health, business administration, health policy, nursing, or related field
- Preferred: experience developing new consulting offerings or building a Medicare quality or Star Ratings practice
- Preferred: experience in both a Medicare Advantage health plan and healthcare consulting/advisory environment
- Preferred: experience contributing to healthcare quality research and industry publications
Benefits
Comp & perks- Medical, Dental and Vision coverage for employees, dependents, and domestic partners
- Employee Assistance Program (EAP)
- 401(k) plan with company matching and profit-sharing
- Discretionary Bonus Program
- Flexible Spending Accounts (FSA)
- Paid Time Off (PTO)
- Minimum of 10 paid holidays per year
- Family Building Benefits, including adoption and fertility benefits
- Up to 11 weeks of paid parental leave for eligible employees
- Life Insurance and AD&D with 100% of premiums covered
- Fully paid short-term and long-term disability
- Skills training and career development
- Learning and mentoring opportunities
- Employee Resource Groups (ERGs)