Quality Care Improvement Specialist (Remote - San Francisco, CA)

As a Quality Care Improvement Specialist at Astrana Health, you're at the forefront of healthcare enhancement. Your role revolves around improving quality of care by working with network providers on quality improvement initiatives like HEDIS and CMS Star Ratings. Daily responsibilities include data collection, provider education, and reporting on healthcare performance metrics.

To qualify for the Quality Care Improvement Specialist position at Astrana Health, candidates should possess a Bachelor's degree or equivalent experience, along with 3-5 years of experience in IPA, MSO, or the healthcare field. A year of HEDIS experience is essential, as well as experience in data reporting and effective communication.

The Quality Care Improvement Specialist greatly contributes by facilitating improvements in healthcare quality. By engaging with network providers and utilizing data analyses, this role helps enhance provider education and care delivery, ultimately improving patient outcomes and healthcare efficiency across the board.

Yes! The Quality Care Improvement Specialist position at Astrana Health is fully remote. While the job has some travel requirements within San Francisco, you can work comfortably from home while contributing to impactful healthcare initiatives.

Key skills for a Quality Care Improvement Specialist at Astrana Health include data analytics, effective communication, critical thinking, and an understanding of healthcare regulations like HEDIS and CMS. Fluency in languages such as Spanish or Chinese is also a plus that enhances provider communication.

The expected pay for the Quality Care Improvement Specialist role at Astrana Health ranges from $30.00 to $35.00 per hour. This competitive compensation reflects the responsibilities and impact of the role within the organization and the healthcare industry.

At Astrana Health, the core values driving the work of the Quality Care Improvement Specialist include putting patients first, empowering healthcare teams, operating with integrity, fostering innovation, and promoting teamwork. These values ensure a collaborative and patient-centered approach to healthcare delivery.

In your response, highlight your specific experiences with HEDIS measures, including the tools you used for data collection and analysis. Discuss any prior roles where you improved outcomes based on HEDIS metrics and how that aligns with Astrana Health's goals.

Share a specific project where you implemented changes that led to measurable improvements in quality care. Discuss the strategies you employed and the impact those changes had on both the providers and patients.

Explain your methodology for data collection, emphasizing accuracy and compliance with healthcare standards. Describe the tools you're comfortable using and how you present your findings to stakeholders effectively.

Discuss any formal training sessions you've conducted in the past. Focus on how you engaged participants, the materials you used, and the feedback you received, demonstrating your ability to convey complex information simply.

Outline your strategies for prioritizing tasks, such as using project management tools or assessing project impact. Discuss how you balance competing deadlines while ensuring quality work and thorough communication with your team.

Provide an overview of the CMS Star Rating system, emphasizing its importance in quality measurement and healthcare reimbursement. Discuss how you have previously contributed to improving these ratings in your past roles.

Discuss your understanding of HIPAA regulations and the steps you take to ensure data confidentiality. Highlight experiences where you had to manage sensitive provider or patient information responsibly.

Talk about a specific challenge related to quality improvement, data management, or provider engagement. Explain your thought process, actions taken, and the positive outcome that resulted from your perseverance.

Mention specific software and tools that you have used for data analysis and reporting, such as Microsoft Excel, data visualization software, or healthcare analytics platforms. Demonstrate how you've leveraged these tools to enhance efficiency.

Articulate your passion for healthcare and the mission of Astrana Health. Discuss how your personal values align with the company’s goals, particularly your desire to enhance patient care through quality improvement initiatives.