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Jobs at Astrana Health (Now Hiring) — 63 open

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Manager - Quality Care Improvement

Florida, United States · Remote OK

$105k–$130k/yr

Senior$334M raised

Manager - Quality Care Improvement Department: Value-Based Care Programs Employment Type: Full Time Location: Remote Reporting To: Tahira Hashmi Compensation: $105,000 - $130,000 / year Description Astrana is seeking a M…

Skills: Quality Improvement, HEDIS, Medicare Star Ratings, NCQA Guidelines, Staff Supervision

Astrana Health logoAstrana Health

Sr. Manager - FP&A

Alhambra, California, United States · Hybrid

$130k–$155k/yr

Senior+$334M raised

Sr. Manager - FP&A Department: Financial Planning & Analysis Employment Type: Full Time Location: 1668 S. Garfield Ave. 2nd Floor, Alhambra, CA 91801 Reporting To: David Hudes Compensation: $130,000 - $155,000 / year Des…

Skills: Financial Planning, Forecasting, Financial Modeling, Budgeting, Strategic Financial Analysis

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Medical Assistant

Westminster, California, United States · On-site

$20/hr–$24/hr

Entry level$334M raised

Medical Assistant Department: Clinic Operations Employment Type: Full Time Location: 15576 Brookhurst St. Unit B, Westminster, CA 92683 Reporting To: Kimberly Freeman Compensation: $20.47 - $24.00 / hour Description We a…

Skills: Patient Scheduling, Medical Record Maintenance, Vital Signs Measurement, Patient Interviewing, Sterilization of Equipment

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Medical Assistant

Anaheim, California, United States · On-site

$20/hr–$26/hr

Mid level$334M raised

Medical Assistant Department: Clinic Operations Employment Type: Full Time Location: 500 S. Anaheim Hills Road, Suite 230, Anaheim, CA 92807 Reporting To: Kimberly Freeman Compensation: $20.00 - $26.00 / hour Description…

Skills: Patient Scheduling, Vital Signs Measurement, Electronic Health Records, HIPAA Compliance, EKG Performance

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Charge RN (ED) NIGHTS

Tustin, California, United States · On-site

$53/hr–$67/hr

Mid level$334M raised

Charge RN (ED) NIGHTS Department: 7010-Emergency Room Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Reporting To: Mildred Cureton Compensation: $53.80 - $67.19 / hour Description T…

Skills: Clinical Leadership, Patient Care Coordination, Staff Supervision, Acuity-Based Staffing, Critical Thinking

Astrana Health logoAstrana Health

RN- Per Diem Nights Emergency

Tustin, California, United States · On-site

Mid level$334M raised

RN- Per Diem Nights Emergency Department: 7010-Emergency Room Employment Type: Part Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Reporting To: Mildred Cureton Compensation: $54.85 / hour Description Th…

Skills: Emergency Nursing, Patient Assessment, Intravenous Titrations, Cardiac Monitoring, Ventilator Management

Astrana Health logoAstrana Health

Medical Director - Utilization Management (Full-Time or Part-Time)

Monterey Park, California, United States · Remote OK

$275k–$300k/yr

Senior$334M raised

Medical Director - Utilization Management (Full-Time or Part-Time) Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: William Wang Compensation: $275…

Skills: Utilization Management, Prior Authorization, Clinical Oversight, Medical Necessity Review, Regulatory Compliance

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Float Medical Assistant (Front/Back Office)

Anaheim, California, United States · On-site

$20/hr–$25/hr

Entry level$334M raised

Float Medical Assistant (Front/Back Office) Department: Clinic Operations Employment Type: Full Time Location: 710 N. Euclid Street, Anaheim, CA 92801 Compensation: $20.00 - $25.00 / hour Description We are currently see…

Skills: Patient Scheduling, Medical Record Maintenance, Vital Signs Measurement, Patient Interviewing, Sterilization of Medical Equipment

Astrana Health logoAstrana Health

Risk Adjustment Coding Specialist II - Remote

Monterey Park, California, United States · Remote OK

$70k–$85k/yr

Mid level$334M raised

Risk Adjustment Coding Specialist II - Remote Department: Quality - Risk Adjustment Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Teaveous Robinson Compensation: $7…

Skills: Risk Adjustment Coding, Chart Review, Provider Education, ICD-10-CM, HCC Recapture

Astrana Health logoAstrana Health

Medical Assistant - Cardiology (Bilingual Chinese or Spanish)

San Gabriel, California, United States · On-site

$20/hr–$23/hr

Entry level$334M raised

Medical Assistant - Cardiology (Bilingual Chinese or Spanish) Department: Clinic Operations Employment Type: Full Time Location: 506 W. Valley Blvd. Unit #100, San Gabriel, CA 91776 Compensation: $20.00 - $23.00 / hour D…

Skills: Patient Interviewing, Vital Signs, Medication Reconciliation, EKG Performance, Cardiac Heart Monitor Hook Up

Astrana Health logoAstrana Health

Medical Assistant - Cardiology (Bilingual Chinese or Spanish)

San Gabriel, California, United States · On-site

$20/hr–$23/hr

Entry level$334M raised

Medical Assistant - Cardiology (Bilingual Chinese or Spanish) Department: Clinic Operations Employment Type: Full Time Location: 506 W. Valley Blvd. Unit #100, San Gabriel, CA 91776 Reporting To: Leatrice Ching Compensat…

Skills: Patient Interviewing, Vital Signs, Medication Reconciliation, EKG Performance, Cardiac Heart Monitor Hook Up

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Nurse Practitioner/Physician Assistant - Primary Care - Spanish

Anaheim, California, United States · On-site

$160k–$180k/yr

Mid level$334M raised

Nurse Practitioner/Physician Assistant - Primary Care - Spanish Department: Clinic Operations Employment Type: Full Time Location: 710 N. Euclid Street, Anaheim, CA 92801 Reporting To: Sharma Bishop Compensation: $160,00…

Skills: Primary Care, Chronic Disease Management, Preventive Medicine, Spanish Fluency, Geriatric Care

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Nurse Practitioner/Physician Assistant - Pediatrics

Alhambra, California, United States · On-site

$155k–$165k/yr

Mid level$334M raised

Nurse Practitioner/Physician Assistant - Pediatrics Department: Providers Employment Type: Full Time Location: 328 S. First St. #F Alhambra, CA 91801 Reporting To: Amy Chang Compensation: $155,000 - $165,000 / year Descr…

Skills: Pediatric Care, Diagnosis and Treatment, Patient Care Coordination, Electronic Medical Records, Cantonese Proficiency

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Charge RN (PACU) - Days

Tustin, California, United States · On-site

$53/hr–$66/hr

Mid level$334M raised

Charge RN (PACU) - Days Department: 7420-Surgery & Recovery Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Reporting To: Glenda Luce Compensation: $53.34 - $66.67 / hour Description…

Skills: Clinical Leadership, Patient Care Coordination, Staff Supervision, PACU Nursing, Critical Care Nursing

Astrana Health logoAstrana Health

CNA (SubAcute) NIGHTS

Tustin, California, United States · On-site

$20/hr–$25/hr

Entry level$334M raised

CNA (SubAcute) NIGHTS Department: 8720-Nursing Admin Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Compensation: $20.00 - $25.00 / hour Description The Certified Nursing Assistant …

Skills: Vital Signs Monitoring, Patient Hygiene, Activities Of Daily Living (ADL), Infection Control, HIPAA Compliance

Astrana Health logoAstrana Health

CNA (Sub Acute) DAYS

Tustin, California, United States · On-site

$20/hr–$25/hr

Entry level$334M raised

CNA (Sub Acute) DAYS Department: 8720-Nursing Admin Employment Type: Full Time Location: 14662 Newport Ave, Tustin, CA 92780 ("HOSPITAL") Reporting To: Glenda Luce Compensation: $20.00 - $25.00 / hour Description The Cer…

Skills: Vital Signs Monitoring, Patient Hygiene, Activities Of Daily Living (ADL), Infection Control, HIPAA Compliance

Astrana Health logoAstrana Health

Business Analyst

Houston, Texas, United States · Hybrid

$75k–$85k/hr

Mid level$334M raised

Business Analyst Department: ApolloCare TX - Provider Relations Employment Type: Full Time Location: 19500 HWY 249, Suite 570 Houston, TX 77070 Reporting To: Karen Holt Compensation: $75,000.00 - $85,000.00 / hour Descri…

Skills: Data Analysis, Microsoft Excel, Project Coordination, Provider Relations, Healthcare Operations

Astrana Health logoAstrana Health

Sr. Director - Payer Contracting

Monterey Park, California, United States · Hybrid

$175k–$185k/yr

Senior+$334M raised

Sr. Director - Payer Contracting Department: Payer Relations & Contracting Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Michael Cotton Compensation: $175,000 - $18…

Skills: Payer Contracting, Contract Negotiation, Financial Modeling, Risk-Based Contracting, Managed Care

Astrana Health logoAstrana Health

UM Coordinator - Denials

Monterey Park, California, United States · Hybrid

$20/hr–$24/hr

Entry level$334M raised

UM Coordinator - Denials Department: HS - UM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Felicia Calles Compensation: $20.00 - $24.00 / hour Description Astrana H…

Skills: Medical Terminology, ICD-10, CPT, HCPCS, RVS Codes

Astrana Health logoAstrana Health

Case Manager (LVN/RN)

Monterey Park, California, United States · Hybrid

$30/hr–$45/hr

Mid level$334M raised

Case Manager (LVN/RN) Department: HS - ICM Employment Type: Full Time Location: 1600 Corporate Center Dr., Monterey Park, CA 91754 Reporting To: Dourly Galvez Compensation: $30.00 - $45.00 / hour Description Astrana Heal…

Skills: Case Management, Utilization Management, Medical Record Review, Discharge Planning, Patient Assessment

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Showing 1–20 of 63

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Manager - Quality Care Improvement

Astrana Health

Florida, United States • Remote OK

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  • $105k–$130k/yr
  • Full-time
  • bachelor degree, postgraduate degree
  • Posted 3d ago
  • ~40 hrs/week
  • Remote in United States

Responsibilities

Lead quality initiatives and regional operations, overseeing the execution of HEDIS and Medicare Star Ratings programs. Act as a key liaison between health plans, IPA partners, and providers to drive quality performance and compliance.

Requirements

Requires a bachelor's degree (Master's preferred) with at least 5 years of quality/HEDIS experience and 2 years of supervisory experience. Must possess strong knowledge of NCQA technical specifications and value-based programs.

Full job description

Manager - Quality Care Improvement

Department: Value-Based Care Programs

Employment Type: Full Time

Location: Remote

Reporting To: Tahira Hashmi

Compensation: $105,000 - $130,000 / year



Description

Astrana is seeking a Manager - Quality Improvement to be responsible for leading quality initiatives and teams within the Quality Department. This role has direct oversight over regional operations for quality related activities including supervision of staff, design/deployment of activities, and managing external partner relationships such as health plans and providers. The manager oversees assigned programs, projects, and lines of business, ensuring effective coordination and execution of HEDIS and Medicare Star Ratings initiatives. This role serves as a key liaison between Astrana Health, health plans, IPA partners, and providers to drive quality performance and compliance.

Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team


What You'll Do

The Manager - Quality Improvement is responsible for leading quality initiatives and teams within the Quality Department. This role has direct oversight over regional operations for quality related activities including supervision of staff, design/deployment of activities, and managing external partner relationships such as health plans and providers. The manager oversees assigned programs, projects, and lines of business, ensuring effective coordination and execution of HEDIS and Medicare Star Ratings initiatives. This role serves as a key liaison between Astrana Health, health plans, IPA partners, and providers to drive quality performance and compliance. ESSENTIAL DUTIES AND
  • Leadership and oversight over day-to-day operations for designated areas
  • Oversee health plan metrics and ratings including identifying, addressing gaps in performance
  • Collaborate with peers within assigned regions and across the organization to deploy effective programs for quality gap closures
  • Lead health plan, IPA and provider meetings to review KPIs, share best practices and design process improvement activities to improve outcomes
  • Manage quality data workflows between Astrana and health plans to ensure complete and accurate submission of relevant data
  • Support audits requested by payers or other partners to meet compliance requirements • Able to prioritize work to reach overall team goals
  • Be detail oriented and show strong organizational skills.
  • Drive outcomes for critical measures assigned to other departments through cross functional teamwork and support
  • Able to analyze key trends and succinctly communicate findings to leadership, providers, health plans
  • Able to identify barriers or risks early and escalate to leadership for support and intervention
  • Manage a team remotely to execute on provider engagement and execution of key initiatives
  • Hire, retain, mentor, and manage performance for direct reports through a culture of accountability, collaboration, and continuous improvement.
  • Ensure all work completed meets internal compliance requirements as well as health plan and NCQA compliance.
  • Be responsible for assigned health plans including managing ongoing relationships with key individuals, attending meetings, and providing updated presentations among other required tasks.
  • Participate in staff hiring efforts and evaluation of performance during introductory period and annually
  • Maintain a professional demeanor at all times with both internal and external stakeholders, including being timely in responses, delivering exceptional customer service, and maintaining clear communication.
  • Performance manage direct reports as appropriate and with guidance from HR and department leaders
  • Attend regional meetings in person or remotely depending on business needs
  • Able to present to large groups of providers or team members including managing Q/A
  • Be a subject matter expert in NCQA guidelines for quality measures and able to direct providers to address gap closures within these parameters.
  • Performs other duties, projects and actions assigned in a professional manner, utilizing time and resources efficiently.


Qualifications

  • Minimum of BA/BS degree or equivalent work experience
  • Master’s Degree highly preferred
  • 5+ years of quality/HEDIS work experience; 2+ years of supervisory/management experience required
  • Strong knowledge of value-based programs and managed care operations
  • Subject matter expert in NCQA technical specifications or demonstrated ability to access this information
  • Excellent oral and writing skills are characterized by the ability to communicate effectively with audiences at all levels
  • Excellent analytical critical reasoning and interpersonal communication skills
  • Must be ethical and possess the ability to remain impartial and objective
  • At least intermediate skills in MS Excel and PowerPoint
  • Good organization, critical thinking, and problem-solving skills


Environmental Job Requirements and Working Conditions

  • This is a full-time, remote position. Candidates must be able to travel up to 25% of the time to assigned regions and able to travel to corporate offices as needed. The office is located at 1600 Corporate Center Drive in Monterey Park, CA.
  • The national target pay range for this position is $105,000 - $130,000 per year. Actual compensation will be based on experience, geographic location (current or future), 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 [email protected] to request an accommodation.

Related keywords

HEDISMedicare Star RatingsNCQAValue-Based CareManaged CareQuality ImprovementIPA PartnersHealth PlansKPIsComplianceProvider EngagementData WorkflowsGap ClosureRegional OperationsMS ExcelMS PowerPoint

About Astrana Health

LinkedInVisit site

Empowering physicians and providers to deliver high-quality, patient-centered care to all. (NASDAQ:ASTH)

Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Headquarters
Alhambra, California
LinkedIn followers
19,582
Total funding
$334M

Astrana Health is a physician-centric, technology-enabled healthcare company committed to delivering access to high-quality, patient-centered care. Through its proprietary end-to-end technology platform, Astrana empowers providers to deliver more proactive, preventive care - improving patient outcomes, elevating patient experiences, improving the well-being of providers, and driving greater value. Today, Astrana supports more than 20,000 providers and over 1.6 million Americans in value-based arrangements through its affiliated provider networks, management services organization, and primary, specialty, and ancillary care delivery clinics. Together, Astrana is building what our healthcare system should be - one that delivers better care, better experiences, and better outcomes for all. For more information, visit www.astranahealth.com.

Offices: Alhambra, California 91801, US · Las Vegas, Nevada 89148, US

Health CareMedical
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About Astrana Health

LinkedInVisit site

Empowering physicians and providers to deliver high-quality, patient-centered care to all. (NASDAQ:ASTH)

Industry
Hospitals and Health Care
Company size
1,001-5,000 employees
Headquarters
Alhambra, California
LinkedIn followers
19,582
Total funding
$334M

Astrana Health is a physician-centric, technology-enabled healthcare company committed to delivering access to high-quality, patient-centered care. Through its proprietary end-to-end technology platform, Astrana empowers providers to deliver more proactive, preventive care - improving patient outcomes, elevating patient experiences, improving the well-being of providers, and driving greater value. Today, Astrana supports more than 20,000 providers and over 1.6 million Americans in value-based arrangements through its affiliated provider networks, management services organization, and primary, specialty, and ancillary care delivery clinics. Together, Astrana is building what our healthcare system should be - one that delivers better care, better experiences, and better outcomes for all. For more information, visit www.astranahealth.com.

Offices: Alhambra, California 91801, US · Las Vegas, Nevada 89148, US

Health CareMedical
View all jobs at Astrana Health

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