Performance Improvement Specialist, Quality
Astrana Health, Inc.
1 day ago
Full-time
Remote friendly (Monterey Park, California, United States)
Worldwide
$70,304 - $80,000 USD yearly
Registered Nurse
Performance Improvement Specialist, Quality Department: Quality
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Comfort Antwi
Compensation: $70,304 - $80,000 / year
Description We are currently seeking a dynamic Performance Improvement Specialist within the Quality Department who will oversee the daily management of quality performance and data reporting requirements for Astrana’s accountable care organization (ACO) programs, specifically the Medicare Shared Savings Program (MSSP). The Performance Improvement Specialist will be responsible for both field and office activities, delivering ongoing support to our ACO providers. Responsibilities will include supporting ACO Participant Providers in quality measure education; quality outcome reporting readiness; electronic health record (EHR) documentation improvement; EHR system troubleshooting and/or vendor coordination; and quality outcome data submission assistance.
What You'll Do
Develop and maintain strong relationships with assigned provider groups, including decision makers and office staff, to understand quality reporting readiness and processes
Partner with assigned providers so they are well informed on ACO Quality performance and reporting requirements
Conduct routine visits to providers in the assigned territory to build trust and maintain open communication between our ACOs and providers
Deliver personalised, on-site assistance with quality reporting processes at provider offices
Independently analyse quality performance gaps, identify improvement opportunities, and lead quality improvement initiatives with market and provider teams to drive performance outcomes
Collaborate with Manager to develop and maintain ACO Quality educational materials
Communicate clearly and efficiently with providers and office staff
Actively participate in cross-functional teams to complete work and resolve provider issues
Travel frequently within the assigned service area
Qualifications Education
Bachelor’s degree in nursing, healthcare administration, business, public health or related field, or equivalent experience
Experience
2+ years’ experience in healthcare or managed care, working in medical operations and/or quality improvement
2+ years’ experience in provider relations, provider services, or related experience in a healthcare setting
Knowledge, Skills, and Abilities
Familiarity with accountable care organization (ACO) quality reporting strongly preferred
Proficiency with common electronic health record (EHR) systems strongly preferred
Experience with Medicare Fee-for-Service
Excellent written and verbal communication skills, able to tailor information to different audiences
Strong priority management, able to work independently and manage time and resources effectively
High proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, SharePoint/OneDrive, Teams)
You're great for the role if:
Experience working with Accountable Care Organizations (ACO) and/or the Medicare Shared Savings Program (MSSP)
Professional proficiency in spoken Chinese (Mandarin and/or Cantonese)
Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
Must be able to travel frequently to provider offices in assigned service area: San Gabriel Valley.
The target pay range for this role is between $70,304 - $80,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Employment Type: Full Time
Location: 1600 Corporate Center Dr., Monterey Park, CA 91754
Reporting To: Comfort Antwi
Compensation: $70,304 - $80,000 / year
Description We are currently seeking a dynamic Performance Improvement Specialist within the Quality Department who will oversee the daily management of quality performance and data reporting requirements for Astrana’s accountable care organization (ACO) programs, specifically the Medicare Shared Savings Program (MSSP). The Performance Improvement Specialist will be responsible for both field and office activities, delivering ongoing support to our ACO providers. Responsibilities will include supporting ACO Participant Providers in quality measure education; quality outcome reporting readiness; electronic health record (EHR) documentation improvement; EHR system troubleshooting and/or vendor coordination; and quality outcome data submission assistance.
What You'll Do
Develop and maintain strong relationships with assigned provider groups, including decision makers and office staff, to understand quality reporting readiness and processes
Partner with assigned providers so they are well informed on ACO Quality performance and reporting requirements
Conduct routine visits to providers in the assigned territory to build trust and maintain open communication between our ACOs and providers
Deliver personalised, on-site assistance with quality reporting processes at provider offices
Independently analyse quality performance gaps, identify improvement opportunities, and lead quality improvement initiatives with market and provider teams to drive performance outcomes
Collaborate with Manager to develop and maintain ACO Quality educational materials
Communicate clearly and efficiently with providers and office staff
Actively participate in cross-functional teams to complete work and resolve provider issues
Travel frequently within the assigned service area
Qualifications Education
Bachelor’s degree in nursing, healthcare administration, business, public health or related field, or equivalent experience
Experience
2+ years’ experience in healthcare or managed care, working in medical operations and/or quality improvement
2+ years’ experience in provider relations, provider services, or related experience in a healthcare setting
Knowledge, Skills, and Abilities
Familiarity with accountable care organization (ACO) quality reporting strongly preferred
Proficiency with common electronic health record (EHR) systems strongly preferred
Experience with Medicare Fee-for-Service
Excellent written and verbal communication skills, able to tailor information to different audiences
Strong priority management, able to work independently and manage time and resources effectively
High proficiency in Microsoft Office (Outlook, Excel, Word, PowerPoint, SharePoint/OneDrive, Teams)
You're great for the role if:
Experience working with Accountable Care Organizations (ACO) and/or the Medicare Shared Savings Program (MSSP)
Professional proficiency in spoken Chinese (Mandarin and/or Cantonese)
Environmental Job Requirements and Working Conditions
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr, Monterey Park, CA 91754.
Must be able to travel frequently to provider offices in assigned service area: San Gabriel Valley.
The target pay range for this role is between $70,304 - $80,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.