Senior Manager, Pharmacy Stars Strategy & Performance

High level of competence in managing and improving Stars Part D measures. 5-10 years of proven operational leadership experience. Comfortable and fluent with data-driven decision making. Demonstrated experience in healthcare operations, Stars programs, or pharmacy management (preferred but not required). Passionate about innovation and improving member outcomes.

Own the performance and continuous improvement of Part D Stars measures. Lead the strategic direction and execution of the Part D Stars roadmap and annual performance targets. Manage all vendor partnerships related to Part D to ensure accountability and impact. Oversee the Part D performance tracking and data review process to drive insights and operational excellence. Contribute to Clover’s digital engagement strategy to support members’ medication adherence and cost management. Partner with cross-functional teams to identify and leverage synergies between Part D and other clinical or operational initiatives. Support Clover’s overall Stars performance and CMS submission processes through collaboration and execution excellence. Collaborate closely with CCS and MA plan leaders to align strategy, operations, and outcomes. Work with data and analytics teams to drive data-informed decisions and enhance performance insights. Stabilize and enhance existing Part D operations and vendor performance, establishing new engagement structures where needed. Develop and execute a sustainable Part D Stars improvement framework that drives higher member engagement and stronger Stars outcomes year over year.