Director, Product Manager, Quality

Matrix Medical Network is the nation’s leading independent provider of comprehensive in-home health assessments. The Director, Product Manager - Quality will lead product strategy for quality capabilities, transforming quality management and ensuring that clinicians can effectively identify and address care gaps during health assessments.

Responsibilities:

• Product strategy and roadmap for HEDIS performance, Medicare Stars, care gap closure and quality analytics
• Enhancements to careflow™ that surface care gaps in real time and enable same-visit closure
• Intelligent clinical workflows for preventive screenings, transitions of care, documentation and quality interventions
• Lab ordering, results capture, and supplemental data pipelines that create compliant HEDIS numerator closures
• AI-driven capabilities that prioritize outreach, predict intervention opportunities and improve member engagement
• Cross-functional partnerships across Clinical Operations, Care Management, Engineering, Analytics, Coding, Payer Relations and Executive Leadership
• Translation of evolving NCQA and payer requirements into product capabilities before they become operational challenges
• Executive reporting that clearly demonstrates how product investments improve quality performance and business outcomes

Requirements:

• 5+ years of Product Management experience
• 2+ years working within Healthcare Quality, HEDIS, Medicare Star or Population Health
• Strong knowledge of HEDIS methodology, NCQA standards and Medicare Star programs
• Experience supporting supplemental data submission and hybrid medical record retrieval
• Strong analytical skills with experience interpreting Star scorecards, HEDIS performance, numerator/denominator reporting and population health analytics
• Proven success leading highly cross-functional teams across clinical, operational and engineering organizations
• Population Health or Value-Based Care organizations
• Arcadia, Cotiviti, Inovalon, Episource or similar quality platforms
• Mobile phlebotomy or in-home diagnostic services
• Lab-based HEDIS measure workflows
• AI or predictive analytics used to prioritize outreach and interventions
• Risk Adjustment and the intersection between quality, risk adjustment and value-based care