Quality Program 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. 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. We’ve shown that we make a real difference for physician practices and their patients.
About the position:
Stellar Health is the US Healthcare leader in provider performance and reward. We understand the providers and their relationship with their patients is the critical leverage point to improving overall health for all Americans. Reporting directly to the Chief Medical Officer, the Quality Program Manager will be responsible for managing the quality performance across Stellar’s growing MSSP provider network. This person collaborating closely with the CMO and other operational leaders will help develop the overall strategy each year for quality performance. The Quality Program Manager will have full agency to drive execution of the strategy end to end. They will also establish a close working relationship with our network providers to help ensure success.
As a Quality Program Manager, you will:
In collaboration with ACO leadership, establish the strategy for achieving high performance in the Stellar MSSP ACO each performance period. This role is responsible for leading quality reporting to CMS, identifying opportunities for improvement and engaging with practices and partners around workflows and documentation
You will be primarily responsible for:
- The execution and daily effort of the performance strategy
- Monitoring performance and identify opportunities to ensure targets are met
- Working closely with our provider operations team to ensure correct deployment of the Stellar SVU incentive program.
- Collecting feedback throughout the year from the operations team and factoring in this feedback to make any adjustments
- Periodically presenting to the ACO Board for updates and recommendations
At the end of the performance period, you will be primarily responsible for completing the yearly self audit and submission to CMS.
As a Quality Program Manager, you should have:
- Bachelor's Degree
- 5+ years of experience entirely focused on quality metric performance at an IPA, health system or payer
- Previous experience in medicare preferred and clear understanding of HEDIS and STAR measures
- Experience with designing and running campaigns and sprints to reach specific quality metric targets at contract/network level
- Experience and knowledge of receiving monthly payer data, working with payer systems to submit quality data
- Strong communication and organization skills
- Experience and comfort working closely with providers and their office staff to garner data and charts
- Able to problem solve independently and work autonomously
Who will love this job:
This is a new role at Stellar. You will have a tremendous opportunity to shape the role and future department. Although this is a new position, you will have lots of support from very experienced people and be provided with a number of resources to set you up for success!
Pay:
At Stellar, we believe in transparency and we do our best to make sure the company and our candidates are on the same page as it relates to compensation. In addition to posting salary ranges for our open roles, candidates should expect to be asked about compensation expectations and requirements early on in their interview process. Our goal is to highlight when expectations and Stellar's salary range may be out of sync, and work with the candidate to determine whether it makes sense to continue conversations.
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. Stellar's 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.
- The base salary range for the Quality Program Manager is $120,000-$140,000 and will be eligible for equity and an annual performance based bonus.
Perks & Benefits:
Stellar offers a carefully curated selection of wellness benefits and perks to our employees:
- Medical, Dental and Vision Benefits
- Unlimited PTO (and ask our recruiting team about the ways we make sure employees are actually taking PTO)
- Universal Paid Family Leave, with up to 21 weeks of fully paid leave available to new parents and caregivers
- 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 @stellar.health 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 @stellar.health email address.
If you are ever unsure whether you are in contact with a legitimate Stellar Health teammate, please contact [email protected]. If you believe you've 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.
