ACO Quality Performance Improvement Specialist | Hybrid

Astrana Health, Inc.; San Gabriel (CA); Hybrid; USD 70,000 - 80,000; Full time

Job summary

Astrana Health, Inc. is seeking a Performance Improvement Specialist in the Quality department to oversee quality performance management and data reporting for MSSP ACO programs.

This role involves field and office responsibilities, supporting provider education and preparedness in quality measures. The position supports ACO Participant Providers with quality reporting readiness, EHR documentation improvement, and data submission assistance, with a hybrid work model and travel within the San

Qualifications

• Bachelor’s degree in nursing, healthcare administration, business, public health or related field, or equivalent experience.
• 2+ years’ experience in healthcare or managed care, working in medical operations and/or quality improvement
• 2+ years’ experience in provider relations, provider services, or related experience in a healthcare setting.

Responsibilities

• Develop and maintain relationships with assigned provider groups to understand quality reporting readiness and processes.
• Partner with providers so they are informed on ACO Quality performance and reporting requirements.
• Conduct routine visits to providers in the assigned territory to build trust and maintain open communication.
• Deliver on-site assistance with quality reporting processes at provider offices.
• Analyze quality performance gaps, identify improvement opportunities, and lead quality improvement initiatives.

Skills

ACO knowledge

EHR systems

Medicare FFS

Communication

Time management

Microsoft Office

Education

Bachelor’s degree in nursing/healthcare

Job description

Astrana Health, Inc. is seeking a Performance Improvement Specialist in the Quality department to oversee quality performance management and data reporting for MSSP ACO programs.

This role involves field and office responsibilities, supporting provider education and preparedness in quality measures. The position supports ACO Participant Providers with quality reporting readiness, EHR documentation improvement, and data submission assistance, with a hybrid work model and travel within the San