Senior Product Manager (STARS)

Inovalon•Bowie, MD

4d•$112,600 - $150,000

About The Position

Inovalon is hiring a Senior Product Manager focused on Medicare Advantage Stars. The role connects CMS regulatory requirements, health plan quality strategies, data analytics, and product development to create practical solutions for customers. The successful candidate will serve as an internal subject matter expert and partner with product, engineering, analytics, and client-facing teams to support Inovalon’s Medicare Advantage Stars offerings. The work helps health plans understand performance, identify gaps, and respond to changes in the Stars environment. The position involves interpreting CMS guidance and translating it into business and product requirements; defining requirements for Stars technology and analytics products; and collaborating on tools that identify performance gaps, forecast Star Ratings, and support quality improvement. The Senior Product Manager will also engage with health plan customers, analyze performance data, validate product functionality through user acceptance testing, and communicate findings and recommendations to internal and external audiences. The role is primarily computer-based in a remote, hybrid, or office environment. It involves prolonged computer use and frequent communication with others, virtually and/or in person. Some travel may be required. The role may occasionally involve moving work-related equipment weighing up to 10 pounds. Reasonable accommodations may be provided consistent with applicable law. The position is not eligible for immigration sponsorship; US-based applicants must be authorized to work in the United States.

Requirements

At least 5 years of software product management experience managing platform or integration products.
At least 5 years of healthcare information technology experience focused on partner integration products.
At least 5 years of experience with Medicare Advantage Stars and CMS quality programs, gained at a health plan, healthcare technology company, consulting organization, or similar organization supporting Medicare Advantage plans.
Bachelor’s degree in healthcare administration, public health, business, data analytics, health informatics, nursing, or a related field, or an equivalent combination of education and experience.
Strong understanding of CMS Medicare Advantage Stars measures, including HEDIS, pharmacy, CAHPS, HOS, operational, and improvement measures, as well as methodology, regulations, and quality improvement programs.
Strong analytical and problem-solving skills, including the ability to interpret complex regulatory and technical documents and translate them into practical business and technology requirements.
Excellent written, verbal, and presentation skills, and the ability to communicate effectively with executives, quality leaders, product managers, analysts, engineers, and developers.
Experience in fast-paced environments and collaboration in Agile product development settings.
Curiosity and ability to learn quickly in evolving regulatory, product, and customer environments and apply new knowledge to improve products and performance.
Ability to build trust, influence cross-functional partners, and align product, analytics, and customer priorities across differing perspectives.
Ability to adapt to changing CMS guidance, business needs, and product requirements while remaining focused on outcomes.
Ability to develop practical, innovative approaches connecting regulatory requirements, analytics, and product capabilities to create customer value.
Ability to use data, logic, and evidence to evaluate Stars performance, identify patterns, and support product and business decisions.
For US-based positions, authorization to work in the United States; immigration sponsorship is not available.

Nice To Haves

Experience building healthcare technology products involving Medicare Advantage Stars, quality, analytics, or regulatory compliance.
Experience with Medicare Advantage quality data sources, including HEDIS, CAHPS, HOS, claims, encounter, pharmacy, and supplemental data.
Familiarity with CMS Stars Technical Specifications, cut points, and benchmarks.
Pragmatic Marketing experience or certification.
SaaS or cloud software experience.

Responsibilities

Interpret CMS Medicare Advantage and Part D Stars regulations, technical specifications, and guidance, including Advance Notices, Final Rules, Rate Announcements, and Technical Notes, and translate them into business and product implications.
Serve as an internal subject matter expert on Medicare Advantage quality measurement, performance improvement, and Stars methodology, including measure changes, benchmarks, cut points, weighting, and year-over-year impacts.
Define business and functional requirements for Medicare Advantage Stars technology and analytics products, translating regulations and measure specifications into data requirements, workflows, calculations, and user needs.
Partner with product, engineering, data analysts, and data scientists to build and enhance tools for identifying performance gaps, forecasting Star Ratings, and supporting quality improvement strategies.
Support user acceptance testing for Stars-related functionality and validate alignment with CMS requirements and intended business outcomes.
Engage with Medicare Advantage health plan customers to understand their Stars strategies, quality challenges, operational priorities, and data environments.
Analyze plan performance data to identify gaps, root causes, trends, and opportunities for improvement across measure-level performance and overall ratings.
Present regulatory, analytical, and product findings to executives, quality leaders, and technical and non-technical audiences, including at industry events.
Translate analytical findings into practical recommendations for health plan customers and internal product development teams.
Maintain compliance with Inovalon policies, procedures, and mission statement.
Adhere to confidentiality and HIPAA requirements relating to data handled and services rendered.
Fulfill responsibilities and duties reasonably provided by Inovalon to support operational and financial success.