Practice Group Manager overseeing support and operations in mental healthcare offices across Georgia. Ensuring clinical and financial objectives are met while cultivating team performance.
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
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