Clinical Quality Advisor

Altais; San Francisco (CA); On-site; USD 107,000 - 129,000; Full time

Benefits offered by this job

Excellent medical, vision, and dental

401k matching program

Paid time off plus holidays

Job summary

Altais is seeking a Clinical Quality Advisor to lead multi-departmental quality initiatives, analyze performance data, and drive improvements across departments. You will implement rapid-cycle methods and collaborate with internal teams to enhance CMS Star Ratings and other performance measures.

The role emphasizes governance, milestone tracking, training, and program maintenance, with a focus on continuous improvement and stakeholder engagement across the organization.

Qualifications

• Minimum 8 years of prior relevant experience in managed care quality improvement, care management or clinical program management in a clinical/healthcare environment
• Working knowledge of HEDIS, CAHPS, HOS, CMS Medicare Star Ratings, P4P programs, MCAS and NCQA Quality Improvement standards
• Specific licensing requirements may apply (e.g., LVN, RN, NP, PA, MSW, CPhT)

Responsibilities

• Targeted Improvement Activities: collaborate to develop improvement activities based on performance data and best practices to enhance CMS Star Ratings, HEDIS, CAHPS, HOS, P4P and other measures
• Research and Integration: review evidence-based practices and benchmarks and apply findings to quality improvement initiatives
• Continuous Monitoring and Feedback: monitor improvement activities and provide actionable feedback to management
• Performance Improvement Methodologies: apply rapid-cycle methods to support internal quality initiatives
• Quality Improvement Program Maintenance: contribute to annual program documents and evaluations
• Training and Development: support development and delivery of quality improvement training programs
• Support Intradepartmental Teams: assist teams to align with organizational goals
• Technological Advancement: seek opportunities to improve delivery and efficiency via tech
• Data Translation and Recommendations: translate data into insights and advise stakeholders
• Report Preparation and Data Analysis: prepare reports and analytics for committees and management
• Program and Process Improvements: contribute to ongoing program enhancements and process optimization
• Program Monitoring and Continuous Improvement: track programs from initiation to delivery
• Governance and Milestone Tracking: define milestones and deliver integrated delivery plans
• Operational Targets and Problem Solving: achieve targets and improve processes with limited supervision
• Complex Problem Solving: develop new approaches to multifaceted problems
• Communication and Influence: inform and guide internal/external parties and coach others
• Committee Participation and Leadership: lead cross-functional committees and stakeholder workgroups
• Audit Participation and Process Improvement: participate in audits and drive corrective actions

Skills

Quality improvement

Project management

Data analysis

Cross-functional collaboration

Stakeholder communication

Education

Bachelor’s degree or equivalent experience

Licensure (LVN, RN, NP, PA, MSW, CPhT) may apply

Job description

About Altais:

At Altais, we’re on a mission to improve the healthcare experience for everyone—starting with the people who deliver it. We believe physicians should spend more time with patients and less time on administrative tasks. Through smarter technology, purpose-built tools, and a team-based model of care, we help doctors do what they do best: care for people.

Altais includes a network of physician-led organizations across California, including Brown & Toland Physicians, Altais Medical Group Riverside, and Family Care Specialists. Together, we’re building a stronger, more connected healthcare system.

About the Role

Are you looking to join a fast-growing, dynamic team?

We’re a collaborative, purpose-driven group that’s passionate about transforming healthcare from the inside out. At Altais, we support one another, adapt quickly, and work with integrity as we build a better experience for physicians and their patients.

The Clinical Quality Advisor is responsible for directing and managing multi-departmental and cross-functional programs and projects, supporting quality improvement initiatives, analyzing performance data, and developing improvement activities based on industry best practices. This role focuses on the development and implementation of departmental or cross-functional team projects or initiatives, ensuring timely delivery and continuous improvements. The Clinical Quality Advisor interfaces with internal and external customers on technical matters and program status to enhance delivery and efficiency.

You will focus on:

• Targeted Improvement Activities : Collaborate with team members to develop targeted improvement activities based on current outcome performance and industry best practices aimed at enhancing CMS Star Ratings, HEDIS, CAHPS, HOS, P4P, and other performance measures.

• Research and Integration : Research evidence-based practices, national and regional benchmarks, and industry standards, integrating findings into quality improvement initiatives to ensure alignment with best practices.

• Continuous Monitoring and Feedback : Perform ongoing monitoring of improvement activities through routine analysis of measure outcomes, providing meaningful and actionable feedback to management regarding process enhancement.

• Performance Improvement Methodologies : Effectively utilize and implement performance improvement methodologies to support internal quality initiatives, focusing on rapid-cycle performance improvement for timely and effective results.

• Quality Improvement Program Maintenance : Participate in the development and maintenance of annual quality improvement program documents and evaluations, ensuring the accuracy and relevance of information.

• Training and Development : Support the development, upgrade, and delivery of comprehensive quality improvement training programs and problem-solving methodologies/tools for quality improvement teams and other stakeholders, fostering a culture of continuous improvement.

• Support Intradepartmental Teams : Actively support intradepartmental quality improvement teams, programs, projects, and initiatives, ensuring alignment with organizational goals and objectives.

• Technological Advancement : Continuously seek opportunities to enhance the delivery and efficiency of external-facing quality improvement initiatives through technological advancements and internal process improvements.

• Data Translation and Recommendations : Translate complex data into meaningful information, draw conclusions, and relate findings to industry standards. Provide informed recommendations to departmental stakeholders and the Quality Improvement Leadership Team regarding performance gaps, program implementation, and performance outcomes.

• Report Preparation and Data Analysis : Prepare comprehensive reports, conduct detailed data analysis, and create other materials for presentation to committees and management, ensuring clear communication of findings and recommendations.

• Program and Process Improvements : Actively contribute to the continuous improvement of programs and processes, setting and achieving operational targets within the job area and recommending system/process enhancements to solve problems or improve effectiveness.

• Program Monitoring and Continuous Improvement : Monitor programs from initiation through delivery, ensuring continuous improvement. Organize interdepartmental activities to ensure completion within schedule and budget.

• Governance and Milestone Tracking : Represent the program in project governance and inter-departmental forums. Define and track program milestones while developing, maintaining, and reporting on an integrated delivery plan, while adhering to methodology compliance standards set by the company.

• Operational Targets and Problem Solving : Achieve operational targets with direct impact on departmental results. Independently manage projects under limited supervision, and work to improve processes, systems, or products to enhance job area performance.

• Complex Problem Solving : Solve complex problems involving multiple issues or specialties by drawing on prior experience and analysis. Develop new perspectives and approaches to existing problems.

• Communication and Influence : Communicate with internal and external parties to provide and obtain information. Influence parties within and outside of the job function at an operational level regarding policies, practices, and procedures. Provide guidance, coaching, and training to other employees and manage projects, delegating and reviewing work as needed. Serve as a subject matter expert, regularly briefing key stakeholders on initiatives.

• Committee Participation and Leadership : Lead and actively participate in multi-departmental and cross-functional committees and external stakeholder workgroups, to support key quality improvement initiatives.

• Audit Participation and Process Improvement : Participate in audits as required and contribute to the development and implementation of corrective processes to meet audit requirements and enhance clinical performance, quality, and care management.

The Skills, Experience & Education You Bring

• Bachelor’s degree or equivalent experience

• Minimum 8 years of prior relevant experience in managed care quality improvement, care management or clinical program management in a clinical/healthcare environment

• Managed Service Organization (MSO)/Independent Practice Association (IPA) or Health Plan population health management or quality experience

• Working knowledge of HEDIS, CAHPS, HOS, CMS Medicare Star Ratings, P4P programs, CMS quality withhold, Managed Care Accountability Set (MCAS) and NCQA Quality Improvement standards

• Specific licensing requirements may apply (e.g., LVN, RN, NP, PA, MSW, CPhT)

The Compensation for this position is $107,00 - $128,500/year

In addition, we provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

• Excellent medical, vision, and dental coverage
• 401k savings plan with a company match
• Flexible time off and 9 Paid Holidays

You Share Our Mission & Values:

Compassion

We act with empathy and a deep respect for the challenges faced by physicians and their patients. Our work is driven by a genuine commitment to improving lives and ensuring that care is delivered with dignity, understanding, and humanity.

Community

We foster a culture of collaboration–with physicians, patients across the healthcare ecosystem, and among our teams. By building strong, trusted relationships, we create a unified community focused on advancing patient care and physician well-being.

Leadership

We lead with integrity and vision, setting the standard for excellence in physician support and healthcare innovation. Through collaboration and expertise, we empower others to lead, drive change, and shape the future of care.

Excellence

We are relentlessly focused, results-driven, and accountable for delivering measurable value to physicians and the patients they serve. Our high standards reflect our commitment to excellence, operational discipline, and continuous improvement.

Agility

We embrace change as a constant and respond swiftly to the evolving needs of the healthcare industry. With flexibility and forward-thinking, we adapt, innovate, and act decisively to keep physicians at the forefront.

Altais values the contribution each Team Member brings to our organization. Final determination of a successful candidate’s starting pay will vary based on several factors, including, but not limited to education and experience within the job or the industry. The pay scale listed for this position is generally for candidates that meet the specified qualifications and requirements listed on this job description. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. We provide a competitive compensation package that recognizes your experience, credentials, and education alongside a robust benefits program to meet your needs.

The anticipated pay range for this role is listed in our salary posting for transparency but may vary based on factors including the candidate’s qualifications, skills, and experience.

Altais and its subsidiaries and affiliates are committed to protecting the privacy and security of the personal information you provide to us. Please refer to our ‘CPRA Privacy Notice for California Employees and Applications’ to learn how we collect and process your personal information when you apply for a role with us.

External hires must pass a background check/drug screen. Qualified applicants with arrest records and/or conviction records will be considered for employment in a manner consistent with Federal, State and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, national origin, sexual orientation, gender identity or protected veteran status or disability status and any other classification protected by Federal, State and local laws.