Note: The job is a remote job and is open to candidates in USA. 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
Skills
- 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
Benefits
- Medical
- Dental
- Vision
- Paid time off
- Paid holidays
- 401(k) with company matching
- Voluntary life insurance
- Short-term disability
- Long-term disability
- Employee assistance program
- Health savings account
- Flexible spending accounts
- Additional voluntary benefits
Company Overview