Senior Principal, Medicare & Medicaid Quality Strategy

Company Description

PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders. Our earliest roots are in U.S. healthcare -perhaps the most complex of all industries. Today we serve clients around the globe in every industry to help them improve the Human Experiences at the heart of their business. We serve our clients through an unparalleled offering that combines technology, data, and expertise to enable them to pinpoint and prioritize opportunities, accelerate improvement efforts and build lifetime loyalty among their customers and employees.

Like all great companies, our success is a function of our people and our culture. Our employees have world-class talent, a collaborative work ethic, and a passion for the work that have earned us trusted advisor status among the world's most recognized brands. As a member of the team, you will help us create value for our clients, you will make us better through your contribution to the work and your voice in the process. Ours is a path of learning and continuous improvement; team efforts chart the course for corporate success.

Our Mission:

We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action.

Our Values:

To put Human Experience at the heart of organizations so every person can be seen and understood.

• Energize the customer relationship:Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions.
• Success starts with me:Personal ownership fuels collective success. We each play our part and empower our teammates to do the same.
• Commit to learning:Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow.
• Dare to innovate:We challenge the status quo with creativity and innovation as our true north.
• Better together:We check our egos at the door. We work together, so we win together.

The Vice President, Medicare & Medicaid Strategies, will serve as a senior leader within Press Ganey's Strategic Consulting division, responsible for shaping and driving quality program strategies across both Medicare Advantage and Medicaid markets. This role will provide enterprise-wide strategic direction, support client-facing engagements, and contribute to product and solution development through collaboration with internal teams, including Hyperlift analytics and dashboarding.

This position will support Press Ganey clients in navigating evolving policy and regulatory environments, maximizing value-based opportunities (e.g., Stars QBP, Medicaid withholds, quality incentive programs), and aligning internal and external quality initiatives across government lines of business. The role also supports informing solution design and evolution of tools from a Medicaid quality perspective, ensuring Press Ganey stays ahead of national trends and state-specific needs.

• Lead strategic consulting engagements across Medicare and Medicaid products, with a focus on driving quality improvement and outcomes.
• Provide subject matter expertise on MA Star Ratings, D-SNP, C-SNP, Medicaid quality programs, and regulatory strategy.
• Partner with the Hyperlift product and analytics teams to inform data integration, measure modeling, and Medicaid-specific insights and scoring logic.
• Engage client executives, cross-functional teams, and state Medicaid stakeholders to align strategy, execution, and regulatory requirements.
• Identify and translate national and state policy changes into strategic recommendations for clients and internal stakeholders.
• Support solution development efforts across consulting and technology offerings to ensure alignment with emerging Medicaid and SNP trends.
• Contribute to Press Ganey's external thought leadership through publications, speaking engagements, and client advisory work.
  

• Bachelor's degree or equivalent experience required, Master's degree preferred. Clinical background (e.g., BSN) strongly valued.
• 8+ years of leadership experience in government-sponsored healthcare, with deep knowledge of Medicare Advantage, Medicaid, and SNP programs.
• Strong understanding of regulatory and operational requirements for SNPs and integrated care models.
• Proven track record leading cross-functional program design, product implementation, or quality performance initiatives.
• Ability to navigate complex, matrixed organizations and influence decision-making across payer and provider stakeholders.
• Experience informing or collaborating on product or solution development a plus.
  

Up to 75%, remote-based.

Don't meet every single requirement?Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Press Ganey we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

Additional Information for US based jobs:

Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce. We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class.

Pay Transparency Non-Discrimination Notice - Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

All your information will be kept confidential according to EEO guidelines.

Our privacy policy can be found here:https://www.pressganey.com/legal-privacy/