Senior Manager, Global Compensation
Marsh McLennan
Manager, Quality Performance
Stellar Health
full-time
Posted on:
Location Type: Hybrid
Location: New York City • New York • 🇺🇸 United States
Visit company websiteSalary
💰 $130,000 - $170,000 per year
Job Level
SeniorLead
About the role
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
quality performance measurementpreventive care managementchronic condition managementkey performance indicators (KPIs)data integrity checksvalidation auditsprimary source verification (PSV)quality initiatives developmenthealth outcomes improvementquality reporting requirements
Soft skills
leadershipcollaborationcommunicationtrainingadvisingstrategic thinkingproblem-solvingworkflow optimizationinterpersonal skillseducation
