Performance Improvement Specialist, Quality

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

Job summary

Astrana Health, Inc. is seeking a Performance Improvement Specialist in Monterey Park, CA to oversee quality performance and data reporting for MSSP ACO programs. The role combines field and office duties, delivering support to ACO providers and improving EHR documentation and quality outcomes.

You will analyze performance gaps, educate on reporting requirements, and collaborate with cross-functional teams while traveling frequently within the service area. Hybrid work is expected in this role.

Qualifications

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

Responsibilities

• Develop and maintain relationships with provider groups and office staff to assess quality reporting readiness.
• Inform providers about ACO quality performance and reporting requirements.
• Visit providers regularly to build trust and maintain communication between ACOs and providers.
• Provide on-site assistance with quality reporting processes at provider offices.
• Analyze quality performance gaps and lead improvement initiatives with market and provider teams.
• Collaborate to create and maintain ACO quality educational materials.
• Communicate clearly with providers and office staff.
• Participate in cross-functional teams to resolve provider issues and travel frequently within the service area.

Skills

Quality reporting

EHR systems

Medicare MSSP

Written & verbal comms

Time management

MS Office suite

Education

Bachelors in nursing, healthcare admin, business, public health or related field

Tools

Microsoft Office Suite (Outlook/Excel/Word/PowerPoint/SharePoint)

Job description

Location: 1600 Corporate Center Dr., Monterey Park, CA 91754

Compensation: $70,304 - $80,000 / year

Department: Quality - Strategy & Ops

Description

We are currently seeking a dynamic Performance Improvement Specialist within the Quality Department who will oversee the daily management of quality performance and data reporting requirements for Astrana’s accountable care organization (ACO) programs, specifically the Medicare Shared Savings Program (MSSP). The Performance Improvement Specialist will be responsible for both field and office activities, delivering ongoing support to our ACO providers. Responsibilities will include supporting ACO Participant Providers in quality measure education; quality outcome reporting readiness; electronic health record (EHR) documentation improvement; EHR system troubleshooting and/or vendor coordination; and quality outcome data submission assistance.

What You'll Do

• Develop and maintain strong relationships with assigned provider groups, including decision makers and office staff, to understand quality reporting readiness and processes
• Partner with assigned providers so they are well informed on ACO Quality performance and reporting requirements
• Conduct routine visits to providers in the assigned territory to build trust and maintain open communication between our ACOs and providers
• Deliver personalised, on-site assistance with quality reporting processes at provider offices
• Independently analyse quality performance gaps, identify improvement opportunities, and lead quality improvement initiatives with market and provider teams to drive performance outcomes
• Collaborate with Manager to develop and maintain ACO Quality educational materials
• Communicate clearly and efficiently with providers and office staff
• Actively participate in cross-functional teams to complete work and resolve provider issues
• Travel frequently within the assigned service area

Qualifications

Education

• Bachelor’s degree in nursing, healthcare administration, business, public health or related field, or equivalent experience

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

Knowledge, Skills, and Abilities

• Familiarity with accountable care organization (ACO) quality reporting strongly preferred
• Proficiency with common electronic health record (EHR) systems strongly preferred
• Experience with Medicare Fee-for-Service
• Excellent written and verbal communication skills, able to tailor information 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)

You’re great for the role if:

• Experience working with Accountable Care Organizations (ACO) and/or the Medicare Shared Savings Program (MSSP)
  Professional proficiency in spoken Chinese (Mandarin and/or Cantonese)

Environmental Job Requirements and Working Conditions

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
• Must be able to travel frequently to provider offices in assigned service area: San Gabriel Valley.
• The target pay range for this role is between $70,304 - $80,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmenative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [e-mail] to request an accommodation.

Additional Information

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.