Manager, Quality Performance

New York City, NY - USA

Monthly Salary: $ 130000 - 170000

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

About Stellar Health:

Historically US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures rather than the quality of health outcomes.

At Stellar Health we help primary care providers put patient health first. Our platform - a mix of technology people and analytics - supports providers at the point of care delivering real-time patient information activating practice staff and empowering providers and care teams with incentives that reward the work they are already doing to keep patients healthy. Using the Stellar App our web-based point-of-care tool; practices receive a simple checklist of recommended actions that support the best quality care. Providers and care teams are then paid monthly for each action they complete and Payors save money in reduced healthcare costs along the way.

Stellar is a US-based Health-tech backed by Top VCs (General Atlantic Point72 & Primary Venture Partners) with an established product & proven operating model. Weve shown that we make a real difference for physician practices and their patients.

About this 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 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 Stellars value-based lines of business up to 25% of your time may focus on serving as a subject matter expert and leader supporting Stellars 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 Stellars provider enablement model.

What Youll 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 Youll Bring

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 Bachelors degree in Healthcare Public Health or a related field

Preferred Qualifications

Clinical background (RN LPN MA)
Masters degree in a related field
Experience in a fast-paced startup environment
Background in Process Improvement methodologies

Who will Love this Job:

You are a subject matter expert who thrives on being the go-to person for healthcare quality
You are passionate about improving patient outcomes and empowering providers in a value-based care environment
You are a results-oriented doer who excels at turning complex requirements into simple effective processes
You are energized by working in a dynamic collaborative and mission-driven culture

Pay:

The salary range for this role is$130000 - $170000 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. Stellars 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:

Stellar offers a carefully curated selection of wellness benefits and perks to our employees:

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

Diversity 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.

Stellar Health Employment Privacy Notice

At Stellar Health your privacy and security as a job seeker is a priority no matter where you are in the interview process. As recruiting scams have become more prevalent please take note of the following practices to ensure the legitimacy of any interaction with our team.

Please note that any communication from our recruiters and hiring managers at Stellar Health about a job opportunity will only be made by a Stellar Health employee with an @ email address.
Stellar Health does not utilize third-party agencies for recruitment services and does not conduct text message or chat-based interviews. Any other email addresses agencies or forums may be phishing scams designed to obtain your personal information.
We will not ask you to provide personal or financial information including but not limited to your social security number online account passwords credit card numbers passport information and other related banking information until we begin onboarding activities which will be coordinated by a member of the Stellar Health People Ops Team with an @ email address.

If you are ever unsure whether you are in contact with a legitimate Stellar Health teammate please contact If you believe youve been a victim of a phishing attack please mark the communication as spam and immediately report it by contacting the U.S. Federal Trade Commission.

Required Experience:

Manager

About Stellar Health:Historically US Healthcare has relied on a fee-for-service reimbursement system where providers are paid based on the quantity of patient visits and procedures rather than the quality of health outcomes.At Stellar Health we help primary care providers put patient health first. O...