Director, Quality Programs

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 building its Quality function from the ground up, and this is the role that stands it up. As Director, Quality Programs, you will carry a dual mandate: first, serving as the subject matter expert and leader directly owning our Quality Program for our CMS ACO business and all risk contracts; and second, leading quality across the full Stellar business — serving as the internal quality authority for Sales, Product, Customer Success, and Operations. You will report directly into the VP, Value-Based Care Operations. This is not a back-office function. You will be embedded in commercial conversations, influencing the product roadmap, advising Customer Success on payer submissions, and representing Stellar's quality expertise in client-facing and prospect-facing settings. The right candidate brings expertise in MSSP Quality performance, data ingestion, and client-facing engagement, combined with a genuine passion for and deep understanding of value-based care quality improvement — because the nuances of this space matter, and we need someone who lives and breathes them.

You will operate as an expert individual contributor from day one: running MSSP quality submissions, conducting rigorous analysis of the quality landscape, advising ACO leadership and practices on performance strategy, and representing Stellar in peer-level conversations with payer quality leadership. Internally, you will be the go-to quality resource for deal-level feasibility questions from Sales, measure logic review for Product, escalated HEDIS questions from Customer Success, and quality sign-off before anything ships. Over time, you will hire and develop a small team, transitioning from solo executor to player-coach. This is a builder role — the quality function exists in theory; you will make it real.

Areas of Expertise and Impact

Execution & Performance Management

• Independently own day-to-day execution of the MSSP Quality program, including inter-team coordination and submission workflows across HEDIS, CMS Stars, MIPS, and Medicaid quality programs.

• Lead all Stellar Health ACO quality submission activity: submission package preparation, internal audits, review and sign-off cycles, and ACO leadership advisory on performance trends and contract target-setting.

• Conduct robust and regular analysis of the broader quality landscape to identify trends, surface risks, and maintain Stellar's position as a knowledgeable partner to payers and ACOs.

• Establish KPIs to measure the impact of quality interventions; report to senior leaders weekly and as needed on current performance status and emerging issues across all ACOs.

• Serve as the single internal owner of the quality SME queue — fielding and resolving "does this count?" questions from Customer Success, Provider Success, Product, Operations, and Sales without escalation.

• Establish and enforce product sign-off authority: formally review and approve quality measure logic before any measure goes into production, preventing misconfigured deployments and downstream financial consequences.

Strategy & Reporting

• Develop multi-year strategies for MSSP Quality performance (PY2026, PY2027, and beyond) in partnership with senior leadership across Strategic Initiatives, Product, and Customer Success.

• Lead risk mitigation strategy for MSSP quality, including performance improvement planning, technical solutioning, and input into relevant policy positions.

• Lead the annual HEDIS spec review: translate NCQA updates into product and operational recommendations, including ICD/CPT/LOINC code updates and new or modified measures.

• Support deal-level measure feasibility assessments and state-by-state Medicaid quality alignment for the growth team; represent Stellar in peer-level conversations with payer quality leadership.

Supplemental Data & Audit

• Own all supplemental data submission workflows, including chart retrieval, data integrity checks, and PSV audit protocols; serve as sign-off authority before any supplemental data submission reaches a payer.

• Build and manage relationships with external vendors and partners supporting quality submission processes; manage bespoke payer specifications across multiple health plans.

Partnership & Product Collaboration

• Build and maintain strong relationships with key internal stakeholders — Product, Analytics, Operations, and Customer Success — to drive collective quality outcomes.

• Partner with EPD on PRD review for quality actions and EHR data acquisition; evaluate Stellar product functionality against CMS final rules and Stars technical specs.

• Work directly with network practices to co-design gap closure workflows; collect cross-functional feedback to support continuous process improvement.

What you'll bring:

• At least 10 years of experience in healthcare, with the majority in quality program management at a provider, ACO, or health plan

• At least 6 years of direct, hands-on management of end-to-end quality submissions — including expert-level understanding of MSSP quality program policies, measures, and reporting requirements

• Expert-level knowledge of HEDIS, MIPS, eCQMs, MSSP ACO quality reporting, and CMS Stars — able to resolve measure-level questions cold without escalation

• Demonstrated ability to build a quality function or program from scratch, not just operate within an established one

• Relentless focus on data: uses numbers to guide strategic decisions; mastery of Excel/Google Sheets and PowerPoint/Google Slides

• Technical experience with EHR integrations or other data source integrations; fluency in how quality measure data flows through structured EHR documentation (Epic + at least one other platform)

• Proven ability to lead through influence — building alignment across senior leaders, cross-functional teams, and external stakeholders without formal authority

• Deep familiarity with NCQA supplemental data standards, PSV audit protocols, and payer-specific submission requirements

• Track record of peer-level engagement with payer quality leadership, plan medical directors, or equivalent external stakeholders

• Strong leadership, communication, and interpersonal skills; able to navigate and manage relationships across all levels, both upward and downward

• A Bachelor's degree in Healthcare, Public Health, or a related field. We will sub in relevant career experience in lieu of degree

Perks & Benefits:

Stellar offers a carefully curated selection of wellness benefits and perks to our employees:

• Medical, Dental and Vision Benefits

• Flexible PTO

• Universal Paid Family and Caregiver Leave

• Wellhub+ Gym Memberships

• Pre-tax commuter benefits, HA, FSA plans

• Company sponsored One Medical memberships and Citibike memberships

• Medical Travel Benefits

• JOON, a flexible lifestyle spending account that gives our team a monthly stipend to spend on what matters most to them

• Stock Options & a 401k matching program

• A broad calendar of company sponsored social events that for our in-office and remote employees

• Company sponsored lunch for all NY HQ 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.