Manager, Quality

About Stellar Health

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, Point
72, & Primary Venture Partners) with an established product & proven operating model. We’ve 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 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.

• 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.

• 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

• Clinical background (RN, LPN, MA)
• Master’s degree in a related field
• Experience in…