Value-Based Care Transformation Lead

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

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