Lead, Value-Based Care & MSSP Reporting

Astrana Health, Inc.; Palm Coast (FL); Remote; USD 85,000 - 105,000; Full time

Job summary

Astrana Health, Inc. is seeking a Lead, Value-Based Care Programs to guide MSSP quality reporting and program improvements within the Quality Department.

This remote role reports to the Medical Director, Value-Based Care Programs and collaborates with cross-functional teams to ensure CMS compliance and effective data reporting. The Lead will drive strategic initiatives, manage performance gaps, and support provider engagement across ACO programs, delivering measurable quality outcomes and

Qualifications

• 5+ years’ experience in program development, management, or project management in healthcare.
• Familiarity with accountable care organization (ACO) quality reporting strongly preferred.
• Proficiency with commonly used electronic health record (EHR) systems strongly preferred.
• 2+ years’ experience designing, developing, and/or implementing enterprise quality programmes.
• Excellent written and verbal communication skills, with the ability to tailor messaging to different audiences.
• Strong priority management, able to work independently and manage time and resources effectively.
• High proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, SharePoint/OneDrive, Teams).

Responsibilities

• Partners with ACO and Value-Based Care Programs leadership to align program strategy with organisational goals and performance objectives.
• Serves as primary owner for MSSP Quality Reporting, overseeing processes, deliverables, and compliance with program requirements.
• Drives quarterly and annual quality reporting, ensuring accuracy, timeliness, and adherence to MSSP and other value-based care standards.
• Uses data analytics and reporting to increase visibility into performance, identify trends, and proactively monitor quality outcomes.
• Independently investigates and resolves complex quality performance and reporting issues, identifying root causes and implementing corrective actions.
• Acts as escalation point for quality performance, reporting, and data-related concerns from participating physician practices and internal stakeholders.
• Evaluates reporting workflows and operational processes; recommends improvements to enhance efficiency, data integrity, compliance, and overall program effectiveness.
• Provides and coordinates training for Provider Relations and Market Managers to support providers in meeting ACO quality performance and reporting requirements.
• Serves as subject matter expert on MSSP quality reporting, quality measure performance, and value-based care program requirements.
• Engages in clinical and quality programmes to ensure regulatory changes, program developments, and reporting requirements are communicated to leadership and participating physicians.
• Develops and supports internal and external clinical and quality initiatives through all project phases to improve care coordination, communication, and patient outcomes.
• Builds and maintains effective working relationships with physician practices, healthcare partners, and cross-functional teams.
• Participates in and contributes to quality, clinical, and related governance committees, as needed.
• Escalates significant issues and risks to leadership with clear analyses and recommended solutions.
• Communicates complex business, operational, and technical issues, recommendations, and solutions to diverse audiences.
• Leads reporting-related projects, initiatives, and process improvements through expertise, influence, and cross-functional collaboration.
• Performs other duties as assigned

Skills

Project management

Cross-functional collaboration

Data analytics

Communication

Healthcare knowledge

Education

Bachelor's degree or equivalent

Master's degree preferred

Tools

Microsoft Office

Electronic Health Records (EHR)

Job description

Astrana Health, Inc. is seeking a Lead, Value-Based Care Programs to guide MSSP quality reporting and program improvements within the Quality Department.

This remote role reports to the Medical Director, Value-Based Care Programs and collaborates with cross-functional teams to ensure CMS compliance and effective data reporting. The Lead will drive strategic initiatives, manage performance gaps, and support provider engagement across ACO programs, delivering measurable quality outcomes and