Hybrid Manager, Quality Performance

at Stellar Health

• Job title: Manager, Quality Performance
• Job type: Full Time
• Experience level: Senior, Lead
• Salary: $130,000 - $170,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, New York City, United States

About the role

• Manager of Quality Performance driving quality strategies and initiatives at Stellar Health. Leading healthcare quality for efficient provider performance in value-based contracts.

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.

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

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