Manager, Quality Performance
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.
What you'll do :
- 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.
What you'll bring :
8+ years of experience in healthcare, with a strong focus on Medicare and / or Medicare Advantage4+ years of direct experience in healthcare quality, including hands-on management of end-to-end quality submissions for an ACO or health planProven success developing and implementing quality initiatives that measurably improve health outcomes and exceed industry benchmarksExpert-level knowledge of HEDIS, MIPS, and MSSP ACO quality reporting requirementsA Bachelor's degree in Healthcare, Public Health, or a related fieldPreferred qualifications :
Clinical background (RN, LPN, MA)Master's degree in a related fieldExperience in a fast-paced startup environmentBackground in Process Improvement methodologiesWho will love this job :
You are a subject matter expert who thrives on being the go-to person for healthcare qualityYou are passionate about improving patient outcomes and empowering providers in a value-based care environmentYou are a results-oriented "doer" who excels at turning complex requirements into simple, effective processesYou are energized by working in a dynamic, collaborative, and mission-driven culturePay :
The salary range for this role is $130,000 - $170,000 + an annual performance based bonus. Where a new hire falls within this range will be based on their individual skills and experience, and how these competencies compare across other employees in the same role. Stellar's bands are designed to allow for individual compensation growth within the role. As such, new hires typically start at the lower end of the range. Stellar rewards performance and outcomes - should you join the company, you will have the opportunity to grow your salary over time.
Perks & benefits :
Medical, Dental and Vision BenefitsFlexible PTOUniversal Paid Family LeaveCompany sponsored One Medical memberships and Citibike membershipsMedical Travel BenefitsA 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 donationsStock Options & a 401k matching programCareer development opportunities like Manager Training, coaching, and an internal mobility programA broad calendar of company sponsored social events that for our in-office and remote employeesDiversity is the key to our success. Stellar Health is an equal opportunity employer and we are open to all qualified applicants regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or expression, veteran status, or any other legally protected status.
We believe that diverse teams -and the different identities, cultures, and life experiences our team members bring to the table- enable us to create amazing products, find creative solutions to interesting problems, and build an inclusive working environment.