Quality Improvement Lead – HEDIS & Medicare Stars

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

Job summary

Astrana Health, Inc. seeks a Manager, Quality Improvement to lead programs across HEDIS, Medicare Stars, and NCQA standards. This role partners with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes and close care gaps.

You will provide operational leadership for regional quality operations, regulatory compliance, and building high-performing teams while fostering accountability and continuous improvement. Travel up to 25% may be required.

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or related field preferred, or equivalent.
• Master's degree preferred.

Responsibilities

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

Skills

Quality Improvement

Leadership

Data Analysis

Communication

Project Management

HEDIS/NCQA knowledge

Excel/PowerPoint

Education

Bachelor's degree in Healthcare Administration or related field

Master's degree preferred

Tools

Microsoft Excel

PowerPoint

Job description

Astrana Health, Inc. seeks a Manager, Quality Improvement to lead programs across HEDIS, Medicare Stars, and NCQA standards. This role partners with providers, health plans, IPA partners, and cross-functional teams to improve quality outcomes and close care gaps.

You will provide operational leadership for regional quality operations, regulatory compliance, and building high-performing teams while fostering accountability and continuous improvement. Travel up to 25% may be required.