Practice Transformation Coach

Astrana Health; Maryland; Hybrid; USD 79,000 - 85,000; Full time

Benefits offered by this job

Hybrid work model

Regional travel 50-70%

Job summary

Astrana Health is seeking a Practice Transformation Coach to drive clinical quality improvement and operational performance across provider practices in Maryland and Northern Virginia (DMV). The role focuses on analyzing practice performance, identifying gaps, and implementing tailored transformation strategies that enhance quality outcomes, financial performance, and efficiency.

The position requires collaboration with physicians and care teams, leading workflow redesign, EHR optimization, and

Qualifications

• Bachelor's degree in nursing, healthcare administration, business, public health, or related field, or equivalent combination of education and progressively responsible experience
• Equivalent combination of education and progressively responsible experience may be considered
• 3+ years of analysis or provider/medical operations experience, preferably in the healthcare or managed care industry
• Experience in value-based care, practice transformation, or quality improvement initiatives preferred
• Demonstrated experience analyzing performance data and developing actionable, data-driven strategies
• Experience working directly with provider groups, physicians, or clinical teams preferred
• Licensed Vocational Nurse (LVN), Registered Nurse (RN), or Certified Professional Coder (CPC) license preferred
• Certified Professional in Healthcare Quality (CPHQ), Master of Health Administration (MHA), Master of Public Health (MPH), Project Management Professional (PMP), or Lean/Six Sigma (Green or Black Belt) certification preferred

Responsibilities

• Assess clinical, operational, and financial performance to identify improvement opportunities.
• Prioritize engagements and determine interventions based on data and impact.
• Develop and lead customized transformation plans to improve quality, workflows, and finances.
• Lead workflow redesign including EHR optimization and billing practices.
• Analyze performance data (HEDIS, pay-for-performance, cost trends) to inform strategies.

Skills

Data analysis

Performance improvement

Healthcare operations

Stakeholder engagement

Education

Bachelor's degree in nursing, healthcare administration, business, public health, or related field

LVN/RN/CPC license preferred

CPHQ/MHA/MPH/PMP/Lean Six Sigma certification preferred

Job description

Description

The Practice Transformation Coach serves as a strategic advisor and subject matter expert responsible for driving clinical quality improvement and operational performance across provider practices within Astrana’s value-based care network in the Maryland and Northern Virginia (DMV) region.

Department: Value-Based Care Programs

Location: Maryland, USA

Compensation: $79 - $85 / year

This role is primarily accountable for analyzing practice performance, identifying gaps, and developing and implementing targeted transformation strategies that improve quality outcomes, financial performance, and operational efficiency. The Coach exercises independent judgment and discretion in assessing practice needs, prioritizing interventions, and recommending solutions that align with organizational and value-based care objectives.

Working directly with physicians, practice leadership, and care teams, this role influences decision-making, guides workflow redesign, and ensures effective adoption of population health and performance improvement strategies across a diverse provider network.

What You'll Do

Practice Engagement & Coaching

• Serve as a strategic advisor to provider practices, assessing clinical, operational, and financial performance and identifying opportunities for improvement
• Exercise independent judgment in prioritizing practice engagements and determining the most effective intervention strategies based on performance data and business impact
• Develop and lead execution of customized transformation plans to improve quality metrics, operational workflows, and financial outcomes

Workflow Design & Optimization

• Lead the design and implementation of workflow redesign initiatives, including EHR optimization, clinical documentation, and billing practices
• Diagnose root causes of quality and financial underperformance and develop targeted, data-driven solutions
• Provide guidance to providers and care teams to support adoption of optimized workflows and sustainable operational improvements

Data Analysis & Performance Improvement

• Analyze and interpret complex performance data, including HEDIS, pay-for-performance metrics, and medical cost trends, to inform strategic recommendations
• Translate data insights into actionable performance improvement strategies tailored to individual practices and market needs
• Monitor progress against established goals and adjust strategies as needed to ensure performance targets are achieved

Cross-Function Leadership & Influence

• Partner with internal stakeholders across Market Operations, Quality, and Population Health to ensure alignment on performance improvement initiatives
• Influence provider and practice-level decision-making through data-driven insights, education, and consultative engagement
• Serve as a key liaison between provider practices and organizational leadership to elevate risks, share insights, and drive alignment

Continuous Improvement & Thought Leadership

• Identify trends and systemic opportunities across practices to inform broader market-level or enterprise performance strategies
• Contribute to the development of best practices, tools, and frameworks that enhance practice transformation efforts across the network
• Support special projects and strategic initiatives aligned with value-based care performance goals

Qualifications

• Bachelor's degree in nursing, healthcare administration, business, public health, or related field, or equivalent combination of education and progressively responsible experience
• Equivalent combination of education and progressively responsible experience may be considered
• 3+ years of analysis or provider/medical operations experience, preferably in the healthcare or managed care industry
• Experience in value-based care, practice transformation, or quality improvement initiatives preferred
• Demonstrated experience analyzing performance data and developing actionable, data-driven strategies
• Experience working directly with provider groups, physicians, or clinical teams preferred
• Licensed Vocational Nurse (LVN), Registered Nurse (RN), or Certified Professional Coder (CPC) license preferred
• Certified Professional in Healthcare Quality (CPHQ), Master of Health Administration (MHA), Master of Public Health (MPH), Project Management Professional (PMP), or Lean/Six Sigma (Green or Black Belt) certification preferred

Environmental Job Requirements and Working Conditions

• This role operates in a hybrid, field-based environment supporting provider practices across the Maryland and Northern Virginia (DMV) region. The Practice Transformation Coach is expected to independently plan and prioritize onsite engagements with physician practices, care teams, and provider organizations to drive clinical and operational performance improvement. The position requires regular local travel (approximately 50–70%) within the assigned region to conduct onsite assessments, facilitate workflow redesign, and support implementation of value-based care initiatives. Travel is primarily regional and may involve driving to multiple practice locations within a given week. When not in the field, the role supports remote work activities, including performance data analysis, development of improvement strategies, preparation of reports, and virtual collaboration with internal stakeholders and provider partners. The Company reserves the right to modify the work arrangement, including travel expectations or transitioning the role to a more onsite-based structure, based on business needs and operational priorities. Disclaimer: This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities.
• The national target pay range for this role is $79,000 - $85,000. 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 Affid 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.