Manager of Quality Improvement

Job Title : Manager of Quality Improvement

Target Compensation Range : $95,000 - $105,000 / year, depending on the relevant qualifications and experience.

About Us :

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

SUMMARY : The Manager of Quality Improvement oversees critical medical management functions including Quality Management, Quality Improvement (QI), Risk Adjustment Factors, and Quality Assurance. This role serves as a key leader, responsible for advancing assigned areas toward enhanced capabilities and operational efficiency in alignment with Astivas strategic plan, goals, and objectives.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following :

• Responsible for developing strategy, deploying systems, refining workflows, ensuring ongoing operational compliance, and consistently achieving results and metrics related to Quality Management, Quality Improvement (QI), and Quality Assurance.
• Maintains compliance with operational procedures and reporting standards to meet or exceed state and federal requirements.
• Works with senior management to establish a strategic vision for STARS improvement that aligns with Astivas business planning process.
• Formulates strategies and carries out tactical plans aimed at enhancing HEDIS, CAHPS, HOS, and other STARS-related measures.
• Designs and supervises monitoring and reporting protocols to keep deliverables and budgets aligned with expectations.
• Annually reviews and updates the QI program, which includes evaluating its effectiveness, updating work plans, and revising Medicare policies and procedures for review and implementation.
• Develops quarterly processes for reporting on QI activity progress.
• Oversees the operations of the health plan's credentialing program.
• Guarantees adherence to all relevant federal, state, and local laws and regulations.
• Partners with internal departments to uphold compliance with the QI program and its policies.
• Prepares reports and facilitates discussion and action by the Utilization Management / Quality Assurance Committee and during Board of Directors Meetings.
• Collects, organizes, examines, and presents data regarding risk adjustment factors (RAF).
• Conducts comprehensive, concurrent, and retrospective reviews promptly.
• Develops and applies strategies to strengthen risk adjustment processes for accurate and thorough data collection.
• Performs audits focused on the precision and completeness of risk adjustment documentation.
• Recruits and retains skilled staff members to execute strategic and operational objectives, while managing succession planning and leadership development.
• Maintains regular communication with providers, members, employees, auditors, and regulators as needed.
• Regular and consistent attendance.
• Other duties as assigned.

EDUCATION and EXPERIENCE :

7+ years senior-level Managed Care operations experience required

Masters in Public Health, Health Science, or RN / NP / BSN licensure

5+ years QI experience at the plan level preferred

Proven ability to build health plan QI programs

Must be able to travel for work up to 5% of the time

Experience with HMO, Medi-Cal / Medicaid, Medicare, insurance, or relevant government / public service preferred

Board reporting and strategic planning experience preferred

Experience overseeing delegated medical groups, IPAs, and contracted healthcare entities

OTHER SKILLS AND ABILITIES :

Conduct analysis and revise policies across all business lines for Quality and Population Health Management Programs.

Demonstrate comprehensive expertise in HEDIS, STARS, RAF, HCC, and additional related quality and clinical care measures.

Possess thorough knowledge of core functions within the health plan environment and effectively address associated challenges.

Grasp primary objectives and systematically deconstruct them into actionable steps.

Display exemplary leadership qualities to guide and influence teams.

Apply advanced problem-solving, analytical, and organizational skills with careful diligence.

Communicate effectively and professionally in both verbal and written formats.

BENEFITS :

401(k)

Dental Insurance

Health Insurance

Life Insurance

Vision Insurance

Paid Time Off