Hiring: Director - Quality & Population Health Company: Astrana Health Location: Las Vegas, NV Job Posted Time: 2026-09-10 11:00:30 Employment Type: Hybrid Target Skills & Keywords : Care Coordination, Change Management, Medicaid, Medicare, Population Health Management, Project Management, Regulatory Compliance About the job Experience: •Minimum of 8 years of experience leading healthcare quality, population health, care management, delegated services, risk adjustment, or value-based care programs. •Minimum of 5 years of leadership experience managing managers, supervisors, and cross-functional healthcare teams. •Deep expertise in HEDIS, Risk Adjustment, Medicare Stars, CAHPS, HOS, Patient Safety, and NCQA quality programs. •In-depth knowledge of Medicare Advantage, Medicaid, Commercial populations, and value-based care models. •Demonstrated success developing and implementing quality improvement strategies that drive measurable outcomes. Required Skills: •Empower Entrepreneurial Provider and Care Teams •Design and lead quality improvement strategies and programs across assigned business units and markets. •Develop and execute initiatives that improve care gap closure, member outcomes, provider performance, and quality ratings. •Partner cross-functionally with Quality, Risk Adjustment, Care Coordination, Clinical Operations, Population Health, Analytics, and Provider Relations teams to achieve organizational objectives. •Partner with Data Analytics teams to identify opportunities for quality improvement and performance optimization through actionable reporting. •Provider & Population Health Management •Design and implement operational workflows supporting quality measure closure, care coordination, transitions of care, annual wellness visits, and engagement of high-risk populations. •Drive provider education and engagement initiatives that improve provider performance and adoption of value-based care programs. Qualifications: •Bachelor's degree in Healthcare Administration, Public Health, Nursing, Business Administration, or related field preferred OR equivalent experience. •Extensive knowledge of CMS, NCQA, health plan delegation requirements, and healthcare regulatory standards. •Strong analytical and operational leadership skills with the ability to translate data into actionable business strategies. •Expertise in quality measurement, population health management, care coordination, and value-based care programs. •Strong provider engagement and relationship management skills. •Excellent verbal, written, presentation, and executive communication skills. •Demonstrated capacity to influence stakeholders and drive results within highly matrixed organizations. •Proven leadership, coaching, team development, and change management capabilities. •Strong project management and strategic planning skills. •Certified Professional in Healthcare Quality (CPHQ), Registered Nurse (RN), or other relevant healthcare certification preferred. Compensation: •$140,000 - $160,000 / year Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!