Medicare Advantage Stars Lead Product Manager (Remote)

Inovalon; Bowie (MD); Hybrid; USD 150,000 - 190,000; Full time

Job summary

Inovalon is seeking a Medicare Advantage Stars Senior Product Manager to connect CMS regulations with health plan quality strategies, data analytics, and product development. You will partner across product, engineering, analytics, and client teams to support Stars offerings and shape insights that drive plan performance.

You will translate complex CMS guidance into clear requirements, collaborate with cross-functional teams to build analytics tools, and help customers improve Star Ratings.

Qualifications

• 5+ years of software product management experience for platform or integration products.
• 5+ years of healthcare IT experience focusing on partner integration products.
• 5+ years of Medicare Advantage Stars and CMS quality programs experience.

Responsibilities

• Interpret CMS Medicare Advantage and Part D Stars regulations and translate into business and product implications.
• Serve as SME on Medicare Advantage quality measurement, performance improvement, and Stars methodology.
• Define business and functional requirements for Stars technology and analytics products from regulatory specs.
• Collaborate with product, engineering, data analysts, and data scientists to build tools identifying performance gaps and forecasting Star ratings.
• Support user acceptance testing to ensure alignment with CMS requirements.
• Engage with Medicare Advantage health plan customers to understand Stars strategies and data environments.
• Analyze plan performance data to identify gaps and opportunities for improvement.
• Present findings to executives, quality leaders, and both technical and non-technical audiences.
• Translate analytical findings into practical recommendations for customers and internal teams.

Skills

Product management

Regulatory knowledge

Data analysis

Stakeholder communication

Agile

Education

Bachelor’s degree in healthcare/related field

Job description

Inovalon is seeking a Medicare Advantage Stars Senior Product Manager to connect CMS regulations with health plan quality strategies, data analytics, and product development. You will partner across product, engineering, analytics, and client teams to support Stars offerings and shape insights that drive plan performance.

You will translate complex CMS guidance into clear requirements, collaborate with cross-functional teams to build analytics tools, and help customers improve Star Ratings.