Serve as a strategic advisor to provider practices, assessing clinical, operational, and financial performance and identifying opportunities for improvement
Exercise independent judgment in prioritizing practice engagements and determining the most effective intervention strategies based on performance data and business impact
Develop and lead execution of customized transformation plans to improve quality metrics, operational workflows, and financial outcomes
Lead the design and implementation of workflow redesign initiatives, including EHR optimization, clinical documentation, and billing practices
Diagnose root causes of quality and financial underperformance and develop targeted, data-driven solutions
Provide guidance to providers and care teams to support adoption of optimized workflows and sustainable operational improvements
Analyze and interpret complex performance data, including HEDIS, pay-for-performance metrics, and medical cost trends, to inform strategic recommendations
Translate data insights into actionable performance improvement strategies tailored to individual practices and market needs
Monitor progress against established goals and adjust strategies as needed to ensure performance targets are achieved
Partner with internal stakeholders across Market Operations, Quality, and Population Health to ensure alignment on performance improvement initiatives
Influence provider and practice-level decision-making through data-driven insights, education, and consultative engagement
Serve as a key liaison between provider practices and organizational leadership to escalate risks, share insights, and drive alignment
Identify trends and systemic opportunities across practices to inform broader market-level or enterprise performance strategies
Contribute to the development of best practices, tools, and frameworks that enhance practice transformation efforts across the network
Support special projects and strategic initiatives aligned with value-based care performance goals
Requirements
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
License/Certifications (if applicable): Licensed Vocational Nurse (LVN), Registered Nurse (RN), 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
Demonstrated ability to exercise independent judgment and discretion in evaluating performance data and recommending business-critical solutions
Strong understanding of value-based care models, population health, and healthcare quality improvement methodologies
Advanced analytical skills with the ability to interpret complex datasets and translate findings into actionable strategies
Strong business and financial acumen, including understanding of quality metrics, cost drivers, and performance incentives
Ability to influence provider behavior and drive change through consultative and relationship-based approaches
Excellent communication and presentation skills, with the ability to engage physicians, care teams, and leadership
Strong project management skills with the ability to manage multiple high-impact initiatives simultaneously
Proficiency in EHR systems and healthcare data tools
Ability to work independently in a dynamic, fast-paced environment
Tech Stack
PMP
Benefits
This role operates in a hybrid, field-based environment supporting provider practices across the Maryland and Northern Virginia (DMV) region.
The Company reserves the right to modify the work arrangement, including travel expectations or transitioning the role to a more onsite-based structure, based on business needs and operational priorities.
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.