Quality Improvement Specialist I

Astrana Health, Inc.; Johnston (RI); On-site; USD 34,000 - 40,000; Full time

Benefits offered by this job

Travel up to 50%

Office-based role

Job summary

Astrana Health, Inc. is seeking a QCI Specialist I to support quality improvement initiatives across HEDIS, Medicare Stars, Medicaid, and Commercial programs.

The role collaborates with providers, health plans, and internal stakeholders to close care gaps and enhance performance. The position focuses on practice-level support, education activities, population health, reporting, and care-gap strategies while serving as a trusted resource to providers and staff.

Qualifications

• Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or related field preferred, or equivalent experience.
• At least 1 year of experience in healthcare, managed care, population health, quality improvement, provider engagement, or related programs preferred.
• Experience supporting HEDIS, Medicare Stars, quality reporting initiatives preferred.
• Experience with provider practices, IPAs, MSOs, or health plans preferred.

Responsibilities

• Support day-to-day execution of quality improvement programs, provider performance initiatives, and population health strategies.
• Monitor provider performance against HEDIS, Medicare Stars, Medicaid, Commercial, and other quality measures; analyze results and recommend improvements.
• Collaborate with providers and staff to implement care gap closure and education initiatives to meet performance targets.
• Collect, validate, and submit medical record documentation and quality data for accurate reporting and compliance.

Skills

Quality Improvement

HEDIS

Provider Engagement

Data Analysis

Excel

Bilingual Spanish/Portuguese

Education

Bachelor's degree in Healthcare Administration

Tools

EHR Systems

Reporting Tools

Data Analytics Apps

Job description

Astrana Health, Inc. is seeking a QCI Specialist I to support quality improvement initiatives across HEDIS, Medicare Stars, Medicaid, and Commercial programs.

The role collaborates with providers, health plans, and internal stakeholders to close care gaps and enhance performance. The position focuses on practice-level support, education activities, population health, reporting, and care-gap strategies while serving as a trusted resource to providers and staff.