Oversees the operational and financial performance of the Medicare product across all markets.
Establish and maintain high performance in key areas including Star/Quality Ratings, risk adjustment, utilization management, and unit cost.
Evaluate market-level performance, identifying systemic gaps, and lead the design and execution of improvement strategies.
Collaborates with providers, clinical teams, network partners, and ACO leadership.
Manage large-scale projects and ensure effective adoption of quality, financial, and operational performance improvement strategies.

Bachelor’s degree in Business Administration, Healthcare Administration, or a related field, or equivalent combination of education and progressively responsible experience.
Master’s degree preferred.
5+ years of product performance management experience, including both quantitative and qualitative performance measures.
Experience in value-based care, market performance management, 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.
Project Management Professional (PMP) certification preferred.
Clinical Licensure (RN, LVN, or equivalent) preferred.
Certified Professional in Healthcare Quality (CPHQ), Lean/Six Sigma (Green or Black Belt), or related certification preferred.
Advanced analytical skills with the ability to interpret complex datasets and translate findings into actionable strategies.
Proficiency in Excel, data analytics tools, and healthcare data platforms.

This role operates in a hybrid environment supporting multiple markets across Astrana’s value-based care network within Maryland, Virginia and Washington DC.
The total compensation target pay range for this role is: $115,000 to $125,000.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer.

Manager – Market Performance & Improvement

Key skills