Quality Improvement Manager - HEDIS & Medicare Stars

Astrana Health; Rhode Island; On-site; USD 90,000 - 110,000; Full time

Job summary

Astrana Health in Johnston, RI is seeking a Manager, Quality Improvement to lead quality initiatives across HEDIS, Medicare Stars, and other programs. You will collaborate with providers, health plans, IPA partners, and cross-functional teams to improve outcomes, close care gaps, and support organizational quality goals.

This role provides operational leadership for quality programs, regional operations, and provider engagement while developing high-performing teams and fostering a culture of

Qualifications

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

Responsibilities

• Lead day-to-day operations for quality programs and regions to achieve key quality measures.
• Monitor health plan quality metrics, identify gaps, and implement improvement initiatives.
• Collaborate with providers, health plans, IPA partners to develop care gap closure strategies.
• Analyze performance trends and communicate findings to leadership and partners.
• Oversee quality data workflows and timely data submission.

Skills

Quality improvement

HEDIS

Medicare Stars

Leadership

Stakeholder management

Data analysis

Excel

Education

Bachelor's degree

Master's degree

Tools

Excel

PowerPoint

Reporting tools

Job description

Astrana Health in Johnston, RI is seeking a Manager, Quality Improvement to lead quality initiatives across HEDIS, Medicare Stars, and other programs. You will collaborate with providers, health plans, IPA partners, and cross-functional teams to improve outcomes, close care gaps, and support organizational quality goals.

This role provides operational leadership for quality programs, regional operations, and provider engagement while developing high-performing teams and fostering a culture of