Director, Product Manager, Quality

Matrix Medical NetworkUNAVAILABLE, UNAVAILABLE
Remote

About The Position

Every healthcare organization wants better outcomes and more complete care. The best ones know those scores are simply the outcome of better clinical decisions, better workflows and better technology. At Matrix, we're building products that help clinicians close care gaps when it matters most: in the home, at the point of care and in real time. If you're the Product Leader who sees HEDIS, Stars and population health as opportunities to improve lives, not just improve metrics, this is your chance to build something that truly moves the industry forward. This isn't a role focused on maintaining a quality platform. It's an opportunity to define the future of quality management across millions of members.

Requirements

  • 5+ years of Product Management experience
  • 2+ years working within Healthcare Quality, HEDIS, Medicare Star or Population Health
  • Strong knowledge of HEDIS methodology, NCQA standards and Medicare Star programs
  • Experience supporting supplemental data submission and hybrid medical record retrieval
  • Strong analytical skills with experience interpreting Star scorecards, HEDIS performance, numerator/denominator reporting and population health analytics
  • Proven success leading highly cross-functional teams across clinical, operational and engineering organizations

Nice To Haves

  • Worked with Population Health or Value-Based Care organizations
  • Worked with Arcadia, Cotiviti, Inovalon, Episource or similar quality platforms
  • Worked with Mobile phlebotomy or in-home diagnostic services
  • Worked with Lab-based HEDIS measure workflows
  • Worked with AI or predictive analytics used to prioritize outreach and interventions
  • Worked with Risk Adjustment and the intersection between quality, risk adjustment and value-based care.

Responsibilities

  • Lead product strategy for the quality capabilities that power careflow™, Matrix's mobile platform used by Nurse Practitioners during in-home health assessments.
  • Ensure the right care happens at the right time, while making it easier for clinicians to identify, document and close care gaps during a single visit.
  • Connect clinical workflows, lab screening programs, supplemental data, AI, analytics and payer requirements into one intelligent product experience that drives measurable outcomes.
  • Transform quality from a retrospective reporting exercise into a proactive, technology-enabled clinical workflow.
  • Build products that help clinicians instantly understand every member's highest-priority care gaps before and during the visit.
  • Deliver intelligent workflows, assessment prompts, conditional logic and evidence-based recommendations that make closing gaps simple and intuitive.
  • Connect every intervention, from lab screenings to documentation improvements, to quality programs, care gap closure, evidence generation and client confidence.
  • Lead product strategy and roadmap for HEDIS performance, Medicare Stars, care gap closure and quality analytics.
  • Lead enhancements to careflow™ that surface care gaps in real time and enable same-visit closure.
  • Lead intelligent clinical workflows for preventive screenings, transitions of care, documentation and quality interventions.
  • Lead lab ordering, results capture, and supplemental data pipelines that create compliant HEDIS numerator closures.
  • Lead AI-driven capabilities that prioritize outreach, predict intervention opportunities and improve member engagement.
  • Lead cross-functional partnerships across Clinical Operations, Care Management, Engineering, Analytics, Coding, Payer Relations and Executive Leadership.
  • Translate evolving NCQA and payer requirements into product capabilities before they become operational challenges.
  • Develop executive reporting that clearly demonstrates how product investments improve quality performance and business outcomes.

Benefits

  • Medical
  • dental
  • vision
  • paid time off
  • paid holidays
  • 401(k) with company matching
  • voluntary life insurance
  • short-term disability
  • long-term disability
  • employee assistance program
  • health savings account
  • flexible spending accounts
  • additional voluntary benefits
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