Manager of Quality Improvement

About Us:

Astiva Health, Inc., based in Orange, CA, is a leading provider of healthcare, offering both Medicare and HMO services. We focus on providing thorough care that’s specially designed for the needs of our diverse community, making sure our services are accessible, affordable, and high quality. We invite you to join us in our mission to improve how healthcare is delivered and to positively impact the lives of those we serve.

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 Astiva’s 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 Astiva’s 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.
• 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.
• Prepare reports of medical groups, IPA and primary care providers’ performance on HEIDS, star rating, RAF, and conduct regular discussions during JOM or as needed performance improvement.
• 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