Astrana Health · 1 day ago
Analyst - Quality
United States
Full-time
Remote
Mid Level
$80K/yr - $95K/yr
3+ years expAstrana Health is seeking a data-driven and strategic Analyst – Quality & Risk to join their Quality - Strategy & Operations team. This role will focus on supporting performance improvement efforts across value-based care programs by analyzing program data and driving operational initiatives to improve quality and risk outcomes.
Health CareMedical
Responsibilities
Analyze program performance data including cost, utilization, risk adjustment, HCC capture, diagnosis codes, medical claims, and quality metrics (e.g., HEDIS, Stars, CMS, Medi-Cal ECM)
Evaluate CMS HCC risk scores and risk model performance to support accurate coding, RAF score improvement, and documentation integrity
Use SQL and Python to query and manipulate large healthcare datasets to identify trends, anomalies, and improvement opportunities
Develop dashboards, reports, and scorecards using tools like Tableau, Power BI, or Excel to communicate performance to internal and external stakeholders
Conduct root-cause analyses and evaluate ROI on initiatives aimed at closing gaps, improving coding accuracy, and optimizing outcomes
Support the design, tracking, and evaluation of initiatives aligned with performance programs focused on quality improvement and cost containment
Translate regulatory and contractual requirements into data queries and programmatic deliverables
Forecast performance and monitor key performance indicators (KPIs) across value-based contracts
Stay current on evolving quality measurement methodologies and value-based care structures
Partner with departments including Population Health, Risk Adjustment, Quality, Clinical Programs, Finance, and IT to align strategies and ensure consistency across data sources and reporting
Collaborate with coding, provider engagement, and compliance teams to support HCC documentation and accuracy
Serve as a key translator between technical findings and operational strategy—ensuring insights are actionable for clinical and non-technical audiences
Ensure data quality through validation and standardization of reporting sources
Contribute to enhancements in analytics methodologies and reporting frameworks
Stay up to date with healthcare analytics best practices and regulatory trends
Qualification
Required
Bachelor's degree in Public Health, Healthcare Administration, Statistics, Business, or a related field
Minimum 3 years of experience working in healthcare analytics, population health, managed care, or program evaluation roles
Familiarity with healthcare performance frameworks such as HEDIS, Stars, ACO, or Medicaid quality programs
Strong data analysis skills using SQL, Excel, Tableau, Power BI, or other business intelligence tools
Experience analyzing HCC coding, diagnosis codes, and RAF score trends to drive improvement initiatives
Ability to thrive in a fast-paced, cross-functional environment
Understanding of healthcare delivery systems, provider networks, quality improvement concepts, and risk adjustment methodologies
Preferred
You thrive in cross-functional settings and can bridge the gap between clinical, operational, coding, and technical teams
You have excellent communication skills and can explain complex topics—such as risk adjustment methodologies, HCC coding, and RAF score drivers—to non-technical stakeholders
You are highly organized, detail-oriented, and able to manage competing priorities in a fast-paced environment while ensuring accuracy in quality and risk reporting
You are passionate about improving healthcare outcomes through data, strategy, HCC risk adjustment, and innovation
Company
Astrana Health
Leading physician-centric, technology-powered, risk-bearing healthcare mgmt. company delivering high quality care in a cost-effective manner
1001-5000 employees
H1B Sponsorship
Astrana Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
Funding
Current Stage
Public CompanyTotal Funding
$334.36MKey Investors
Network Medical ManagementFresenius Medical Care
2019-09-26Post Ipo Equity· $300M
2017-12-20Post Ipo Equity· $5.2M
2017-12-08IPO
Leadership Team
Brandon Sim
Chief Executive Officer & President
Sherry McBride
Chief Operating Officer, MSO
Recent News
2025-12-31
2025-11-11
Company data provided by crunchbase