Quality Improvement Program Manager

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

Job summary

Astrana Health seeks a Manager of Quality Improvement to lead and optimize quality initiatives across regions, collaborating with providers, health plans, and cross-functional teams. You will drive performance on HEDIS, Medicare Stars, and NCQA-aligned measures, while fostering accountability and continuous improvement.

You will oversee data workflows, engage with stakeholders, and mentor a high-performing team to advance value-based care and regulatory compliance.

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 assigned quality programs, regions, projects, and lines of business, ensuring achievement of key quality measures and performance goals.
• Monitor health plan quality metrics and ratings, identify performance gaps, and implement improvement initiatives to drive measurable outcomes.
• Partner with regional and cross-functional stakeholders to develop and execute care gap closure and quality improvement strategies.
• Analyze performance trends and communicate findings, risks, barriers, and recommendations to leadership, providers, and health plan partners.
• Oversee quality data workflows and reporting processes to ensure timely submission of data.

Skills

Quality improvement

Leadership

Data analysis

HEDIS

NCQA standards

Provider relationship management

Excel

PowerPoint

Education

Bachelor's degree

Master's degree preferred

Tools

Excel

PowerPoint

Reporting tools

Data analysis applications

Job description

Astrana Health seeks a Manager of Quality Improvement to lead and optimize quality initiatives across regions, collaborating with providers, health plans, and cross-functional teams. You will drive performance on HEDIS, Medicare Stars, and NCQA-aligned measures, while fostering accountability and continuous improvement.

You will oversee data workflows, engage with stakeholders, and mentor a high-performing team to advance value-based care and regulatory compliance.