> Markdown version of [/jobs/ext/1745623-vp-enterprise-medicare-stars-programs](https://www.wearedevelopers.com/jobs/ext/1745623-vp-enterprise-medicare-stars-programs). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # VP Enterprise Medicare Stars Programs - **Company:** Florida Blue - **Location:** Jacksonville, FL, United States - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Data Analysis, Healthcare Effectiveness Data and Information Set, Performance Monitor - **Published:** July 9, 2026 - **Apply:** https://diversityjobs.com/main/sendform/8/8/28176/1/17527336?backUrl=%2Fcareer%2F17527336%2FVp-Enterprise-Medicare-Stars-Programs-Florida-Jacksonville ## About the Role * 10+ years of leadership experience in Medicare Advantage Quality, Stars, HEDIS, and CAHPS. * Proven track record of driving a plan to strong Star performance. * Deep knowledge of CMS Stars methodology, HEDIS technical specs, and CAHPS. * Experience leading large cross-functional teams and complex vendor ecosystems. * High proficiency in driving performance and execution. * Strong financial acumen, including forecasting, ROI analysis, and budget management. * Enterprise thinker with ability to unify historically siloed functions. * Strong operator with a bias for execution and measurable outcomes and bias towards urgency. * Exceptional communicator with ability to influence at all levels. * Data-driven decision maker with strong analytical orientation. * Builder of high-performing teams and scalable operating models. Preferred: * Master's degree in healthcare administration, public health, business, or related field. General Physical Demands: Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. ## Description This role will be responsible for building and leading an integrated enterprise performance engine that delivers top quartile results in CMS Stars, Quality, HEDIS, and CAHPS, for growing a Medicare Advantage product segment. The successful candidate will unify and deploy best in class execution across historically siloed functions under a single operating model aligned to clinical governance and enterprise performance., * Develop and implement a unified operating model across Quality, Stars, HEDIS, CAHPS, and analytics. * Establish operating model for clinical documentation integrity and population health. * Serve as the executive owner of Stars bonus revenue * Align Quality, Stars, and Risk Adjustment under clinical governance and the CMO. * Collaborate with business area P&L leaders, CFO, Network, Pharmacy, and Operations to drive cross-functional improvement and execution * Lead the enterprise Stars strategy, forecasting, and execution model. * Oversee the Stars Command Center with weekly performance monitoring and escalation. * Ensure all measures have clear owners, intervention plans, KPIs, and 30-60-90 day execution plans. * Drive provider behavior change through aligned incentives, scorecards, and targeted interventions. * Oversee all HEDIS operations, hybrid strategy, supplemental data, and provider documentation improvement. * Lead CAHPS strategy, including member experience, access, complaints, appeals, and grievance reduction. * Develop best-in-class intervention playbooks for each measure. * Ensure alignment with clinical quality, care management, and population health. * Serve as the executive owner of the enterprise vendor ecosystem supporting Quality, Stars, HEDIS, and CAHPS. * Consolidate vendors to reduce cost, improve quality, and strengthen audit defensibility. * Lead enterprise analytics for Stars, HEDIS, CAHPS. * Oversee forecasting for Stars bonus revenue accuracy. * Ensure compliance with CMS, NCQA, URAC, and regulatory requirements. * Lead enterprise audit readiness for Stars, and HEDIS. ## Related Videos - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [Data Science in Retail](https://www.wearedevelopers.com/videos/586-data-science-in-retail) - [Automate everything via NodeJS and Puppeteer](https://www.wearedevelopers.com/videos/322-automate-everything-via-nodejs-and-puppeteer) - [Blueprints for Success: Steering a Global Data & AI Architecture](https://www.wearedevelopers.com/videos/1577-blueprints-for-success-steering-a-global-data-ai-architecture) - [Data Science on Software Data](https://www.wearedevelopers.com/videos/162-data-science-on-software-data) - [From Doubt to Confidence: How Sentry Uses Verdaccio to Bulletproof SDK Releases](https://www.wearedevelopers.com/videos/739-from-doubt-to-confidence-how-sentry-uses-verdaccio-to-bulletproof-sdk-releases) ## Related Articles - [How We Built a Worry-Free System That Runs for 10+ Years – And What We’d Do Again](https://www.wearedevelopers.com/magazine/751-how-we-built-a-worry-free-system-that-runs-for-10-years-and-what-we-d-do-again) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Best Companies to Work For in Berlin: Top 14 Companies in 2023 ](https://www.wearedevelopers.com/magazine/188-best-companies-to-work-for-in-berlin-top-14-companies-in-2023) - [Making Data Warehouses Fast: A Developer’s Story](https://www.wearedevelopers.com/magazine/107-making-data-warehouses-fast-a-developer-s-story) - [Best Companies to Work For in Germany: Top 25 Companies in 2023 ](https://www.wearedevelopers.com/magazine/33-best-companies-to-work-for-in-germany-top-25-companies-in-2023) - [React Developer Salary [2023]](https://www.wearedevelopers.com/magazine/198-react-developer-salary-2023)