仕事内容

About Stellar Health

Stellar Health is a US healthcare technology company focused on helping primary care teams prioritize patient outcomes over volume-based care. Its platform combines software, operational support, and analytics to deliver timely patient-level information at the point of care, prompt practice teams with recommended actions, and reward completed quality actions through monthly payments. The company supports providers and payors with a model designed to improve care quality while reducing overall healthcare costs. Stellar Health is backed by General Atlantic, Point72, and Primary Venture Partners and has an established product with a proven operating model.

About the Role

Stellar Health is creating its Quality function from the ground up, and this role is responsible for establishing and leading it. As Director, Quality Programs, you will own the quality program for the CMS ACO business and all risk contracts, while also acting as the company-wide quality authority across Sales, Product, Customer Success, and Operations. You will report to the VP, Value-Based Care Operations. This is a hands-on, highly visible role that sits close to commercial work, product decisions, and client conversations rather than operating as a back-office function.

The ideal candidate brings deep expertise in MSSP quality performance, data ingestion, and external stakeholder communication, along with a strong commitment to value-based care quality improvement. In this role, you will work independently from day one, managing MSSP quality submissions, analyzing the quality environment, advising ACO leadership and practices, and representing Stellar in discussions with payer quality leaders. Over time, you will build and lead a small team, growing the function from an individual contributor role into a player-coach leadership position.

Core Responsibilities

Take full ownership of daily MSSP Quality program execution, coordinating work across teams and managing submission workflows for HEDIS, CMS Stars, MIPS, and Medicaid quality programs.
Lead Stellar Health’s ACO quality submission process end to end, including preparation of submission packages, internal review and audit steps, sign-off cycles, and strategic guidance to ACO leadership on results and contract targets.
Track the broader quality landscape on an ongoing basis to identify patterns, risk areas, and opportunities that strengthen Stellar’s credibility with payers and ACO partners.
Create key performance indicators to evaluate the effect of quality initiatives and share weekly or ad hoc status updates with senior leadership on performance and emerging concerns across all ACOs.
Serve as the main internal expert for quality-related questions from Customer Success, Provider Success, Product, Operations, and Sales, resolving measure logic questions without escalation.
Own and enforce the quality sign-off process by reviewing and approving measure logic before anything moves into production, helping prevent incorrect implementations and related financial impact.
Build multi-year strategies for MSSP quality performance in collaboration with senior leaders across Strategic Initiatives, Product, and Customer Success.
Develop and guide risk-reduction plans for MSSP quality, including improvement initiatives, technical solutions, and contributions to policy positions where relevant.
Lead the annual HEDIS specification review and translate NCQA updates into product and operational recommendations, including ICD, CPT, LOINC, and measure changes.
Support the growth team with measure feasibility reviews and Medicaid quality alignment across states, and represent Stellar in discussions with payer quality leadership at peer level.
Own supplemental data submission operations, including chart retrieval, data integrity validation, and PSV audit procedures, and provide final approval before data is sent to payers.
Develop and maintain relationships with outside vendors and partners who support quality submissions, while managing customized payer requirements across multiple health plans.
Collaborate closely with Product, Analytics, Operations, and Customer Success to improve quality outcomes across the business.
Partner with EPD on PRD review for quality actions and EHR data acquisition, and assess Stellar’s product behavior against CMS final rules and Stars technical standards.
Work with network practices to design gap-closure workflows and incorporate feedback from multiple teams to continuously improve processes.

Requirements

10+ years of experience in healthcare, with most of that background centered on quality program management in a provider, ACO, or health plan environment.
6+ years of direct, hands-on ownership of end-to-end quality submissions, with advanced knowledge of MSSP quality policies, measures, and reporting rules.
Expert-level command of HEDIS, MIPS, eCQMs, MSSP ACO quality reporting, and CMS Stars, including the ability to answer measure-level questions independently.
Proven experience building a quality program or function from the ground up.
Strong data-driven decision-making approach, with advanced use of Excel or Google Sheets and PowerPoint or Google Slides.
Technical familiarity with EHR integrations or similar data-source integrations, including how quality data moves through structured EHR documentation such as Epic and at least one additional platform.
Ability to influence senior leaders, cross-functional teams, and external partners without formal authority.
Deep knowledge of NCQA supplemental data standards, PSV audit procedures, and payer-specific submission requirements.
Track record of engaging directly with payer quality leaders, plan medical directors, or similar external stakeholders at a peer level.
Strong leadership, communication, and relationship-building skills across all organizational levels.
Bachelor’s degree in Healthcare, Public Health, or a related area preferred; relevant career experience may be accepted in place of a degree.

Perks and Benefits

Medical, dental, and vision coverage
Flexible paid time off
Universal paid family and caregiver leave
Wellhub+ gym memberships
Pre-tax commuter benefits, health accounts, and FSA plans
Company-sponsored One Medical and Citibike memberships
Medical travel benefits
JOON lifestyle spending account with a monthly allowance
Stock options and 401(k) matching
Company-sponsored social events for remote and in-office employees
Company-sponsored lunch for New York headquarters employees

Equal Opportunity and Privacy Notice

Stellar Health states that it is an equal opportunity employer and welcomes qualified candidates regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or expression, veteran status, or other legally protected characteristics. The company emphasizes that diverse backgrounds and perspectives help drive better products, stronger solutions, and a more inclusive workplace.

For job-seeker safety, Stellar Health notes that recruiting communication will only come from employees using an @stellar.health email address. The company says it does not use third-party agencies for recruiting and does not conduct text-message or chat-based interviews. It also states that it will not request personal or financial information such as Social Security numbers, account passwords, credit card details, passport information, or banking information until onboarding begins with the People Ops team. If there is uncertainty about a contact, candidates are directed to reach the People Team at people-team@stellar.health. Suspected phishing should be reported as spam and to the U.S. Federal Trade Commission.

Compensation

The stated compensation range for this position is $180,000 to $220,000 per year.

Director, Quality Programs