Senior Product Manager (STARS)

Who We Are

Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building.

Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare’s greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve.

Who You Are

You are a Medicare Advantage Stars Senior Product Manager who connects CMS regulatory requirements, health plan quality strategies, data analytics, and product development into practical solutions for customers. You will serve as a subject matter expert within the talent acquisition team’s hiring scope for this role, partnering across product, engineering, analytics, and client-facing teams to support Inovalon’s Medicare Advantage Stars offerings. In this role, you help shape products and insights that enable health plans to understand performance, identify gaps, and respond to a complex and evolving Stars environment.

What You'll Do

- Interpret CMS Medicare Advantage and Part D Stars regulations, technical specifications, and guidance, including Advance Notices, Final Rules, Rate Announcements, and Technical Notes, and translate them into clear business and product implications.

- Serve as the internal subject matter expert on Medicare Advantage quality measurement, performance improvement, and Stars methodology, including measure changes, benchmarks, cut points, weighting, and year-over-year impacts.

- Define business and functional requirements for Medicare Advantage Stars technology and analytics products by converting regulatory and measure specifications into data requirements, workflows, calculations, and user needs.

- Partner with product, engineering, data analysts, and data scientists to build and enhance tools that identify performance gaps, forecast Star Ratings, and support quality improvement strategies.

- Support user acceptance testing for Stars-related functionality to validate that products, calculations, and workflows align with CMS requirements and intended business outcomes.

- Engage directly with Medicare Advantage health plan customers to understand their Stars strategies, quality challenges, operational priorities, and data environments.

- Analyze plan performance data to identify gaps, root causes, trends, and opportunities for improvement across measure-level performance and overall ratings.

- Present complex regulatory, analytical, and product findings clearly to executives, quality leaders, and technical and non-technical audiences, including at industry events.

- Translate analytical findings into practical recommendations for both health plan customers and internal product development teams.

What You'll Need

- 5+ years of software product management experience managing platform or integration products required, 5+ years of healthcare information technology experience with a focus on partner integration products required, and 5+ years of experience with Medicare Advantage Stars and CMS quality programs gained at a health plan, healthcare technology company, consulting organization, or similar organization supporting Medicare Advantage plans required.

- Bachelor’s degree in healthcare administration, public health, business, data analytics, health informatics, nursing, or a related field, or equivalent combination of education and experience required.

- Strong understanding of CMS Medicare Advantage Stars measures, including HEDIS, pharmacy, CAHPS, HOS, operational, and improvement measures, as well as methodology, regulations, and quality improvement programs.

- Strong analyti