Manager, Quality Performance
About The Position
Stellar Health is seeking a Manager, Quality Performance to lead quality performance strategy and execution across our MSSP ACO, Medicare Advantage, Commercial, and other value-based contracts. In this role, you will be responsible for managing quality measurement, monitoring, reporting, and submission processes to ensure Stellar consistently meets or exceeds contract performance thresholds. While the majority of your time will be dedicated to Stellar’s value-based lines of business, up to 25% of your time may focus on serving as a subject matter expert and leader supporting Stellar’s broader technology platform business. This position requires a seasoned subject matter expert who can both design and operationalize initiatives that improve patient outcomes while driving measurable impact on ACO financial performance. You will be a critical partner to Stellar leadership, practices, and payor partners, ensuring that quality strategies align with Stellar’s provider enablement model.
Requirements
- 8+ years of experience in healthcare, with a strong focus on Medicare and/or Medicare Advantage
- 4+ years of direct experience in healthcare quality, including hands-on management of end-to-end quality submissions for an ACO or health plan
- Proven success developing and implementing quality initiatives that measurably improve health outcomes and exceed industry benchmarks
- Expert-level knowledge of HEDIS, MIPS, and MSSP ACO quality reporting requirements
- A Bachelor’s degree in Healthcare, Public Health, or a related field
Nice To Haves
- Clinical background (RN, LPN, MA)
- Master’s degree in a related field
- Experience in a fast-paced startup environment
- Background in Process Improvement methodologies
Responsibilities
- Own end-to-end quality performance, including measurement, monitoring, reporting, and submission processes to ensure we meet or exceed all contractual quality thresholds.
- Design and implement strategic initiatives focused on improving outcomes in preventive care, chronic condition management, and appropriate utilization.
- Advise ACO leadership on performance trends, identify opportunities for improvement, and contribute to setting cost and quality contract targets.
- Establish and track key performance indicators (KPIs) to measure the impact of interventions and guide future strategy.
- Serve as the subject matter expert on CMS and payer quality programs (MSSP, Medicare Stars, MIPS, HEDIS, eCQMs), translating complex requirements into actionable workflows.
- Manage all supplemental data submission workflows, including chart retrieval, data integrity checks, and validation audits.
- Lead primary source verification (PSV) audit protocols, partnering with practices to ensure chart-level compliance with NCQA standards.
- Work directly with network practices to co-design workflows that optimize quality performance, providing hands-on training and education on best practices.
- Collaborate across internal teams (Product, Analytics, and Operations) to build scalable, consistent data workflows and provider-facing tools.
Benefits
- Medical, Dental and Vision Benefits
- Flexible PTO
- Universal Paid Family Leave
- Company sponsored One Medical memberships and Citibike memberships
- Medical Travel Benefits
- A monthly wellness stipend that gives employees the freedom to choose where they spend their cash, whether it be on wellness, pet care, childcare, WFH items, or charitable donations
- Stock Options & a 401k matching program
- Career development opportunities like Manager Training, coaching, and an internal mobility program
- A broad calendar of company sponsored social events that for our in-office and remote employees
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Manager
Number of Employees
101-250 employees
