Stellar Health · 3 weeks ago
Manager, Quality Performance
Stellar Health is a US-based Health-tech company focused on improving patient outcomes through a technology-driven platform. They are seeking a Manager of Quality Performance to lead quality measurement and strategy across various healthcare contracts, ensuring compliance and enhancing quality initiatives.
AppsHealth CareSoftware
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
Qualification
Required
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
Preferred
Clinical background (RN, LPN, MA)
Master's degree in a related field
Experience in a fast-paced startup environment
Background in Process Improvement methodologies
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
Company
Stellar Health
Stellar Health empowers providers and practice staff to deliver high-quality care through real-time notifications and meaningful incentives.
H1B Sponsorship
Stellar Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (2)
2023 (2)
2022 (8)
2021 (1)
2020 (2)
Funding
Current Stage
Growth StageTotal Funding
$75.05MKey Investors
General AtlanticPoint72 VenturesPrimary Venture Partners
2021-09-28Series B· $60M
2020-05-12Series A· $10.15M
2019-05-30Seed· $4.9M
Recent News
Morningstar.com
2025-11-04
2024-12-03
Company data provided by crunchbase