Manager, Quality Improvement & Provider Engagement

Astrana Health, Inc.; Cranston (RI); On-site; USD 90,000 - 110,000; Full time

Job summary

Astrana Health, Inc. is seeking a Manager of Quality Improvement to drive performance across HEDIS, Medicare Stars, and other quality programs.

You will lead quality initiatives, engage providers and health plans, and oversee data workflows and regulatory compliance to foster accountability and continuous improvement. You will mentor a team, partner with cross-functional stakeholders, and ensure timely submission of quality data while advancing organizational quality goals in a collaborative

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or related field preferred, or equivalent combination of education and progressively responsible experience.
• Master's degree preferred.
• At least 5 years of experience in healthcare quality improvement, HEDIS, Medicare Stars, population health, managed care, or related healthcare programs.
• At least 2 years of leadership experience managing teams, projects, or quality improvement initiatives.
• Experience working with health plans, IPAs, provider organizations, ACOs, MSOs, or value‑based care programs preferred.
• Strong understanding of NCQA quality programs, HEDIS measures, and Medicare Star Ratings.

Responsibilities

• Lead day-to-day operations for assigned quality programs and regions to achieve key quality measures.
• Monitor health plan quality metrics, identify gaps, and implement improvement initiatives.
• Develop and execute care gap closure and quality improvement strategies with stakeholders.
• Analyze performance trends and communicate findings, risks, and recommendations to leadership.
• Oversee quality data workflows and reporting for timely data submission.

Skills

Quality improvement

Leadership

Communication

Data analysis

Excel

PowerPoint

NCQA/HEDIS expertise

Provider engagement

Education

Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing

Master's degree

Tools

Excel

PowerPoint

Job description

Astrana Health, Inc. is seeking a Manager of Quality Improvement to drive performance across HEDIS, Medicare Stars, and other quality programs.

You will lead quality initiatives, engage providers and health plans, and oversee data workflows and regulatory compliance to foster accountability and continuous improvement. You will mentor a team, partner with cross-functional stakeholders, and ensure timely submission of quality data while advancing organizational quality goals in a collaborative