Healthcare Transformation Strategist

7 days ago

Santa Barbara CA, United States Claire Myers Consulting Full time

As a healthcare organization dedicated to improving health outcomes for the Central Coast community, our client is seeking an experienced and mission-driven professional to join their Quality team. The ideal candidate will bring strong regulatory expertise, strategic thinking, and a passion for advancing quality, equity, and population health initiatives.
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The Practice Transformation Strategist partners closely with internal teams, provider networks, and community organizations to support quality improvement, practice transformation, and population health initiatives. This role ensures compliance with NCQA, DHCS, and CMS requirements while serving as a subject matter expert on regulatory standards, accreditation readiness, and value-based care models.


Partner with cross-functional teams and provider networks to implement practice transformation and quality improvement initiatives that improve patient outcomes
Ensure ongoing compliance with NCQA, CMS, and DHCS regulatory and accreditation requirements
Serve as a subject matter expert for quality, population health, and value-based care programs
Support the design, execution, and monitoring of quality improvement and population health initiatives, including CalAIM-aligned programs
Develop and support corrective action plans to address regulatory, accreditation, or performance gaps
Monitor accreditation readiness activities and escalate compliance risks as needed
Collaborate with IT and internal teams to develop reporting and data-driven solutions
Prepare and submit required documentation and reports to regulatory and accrediting agencies
Strong knowledge of managed care operations, regulatory compliance, and quality performance monitoring
In-depth understanding of NCQA accreditation standards and quality improvement frameworks
Experience supporting practice transformation and population health initiatives
Ability to manage complex projects independently in a fast-paced environment
Willingness to travel to provider offices for in-person practice transformation support
Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint

Five (5) years of experience working with regulatory or accrediting bodies (NCQA, CMS, DHCS, EQRO)
Three (3) years of experience in quality improvement or population health
Experience with HEDIS and NCQA audit standards
Knowledge of community-based organizations and social service agencies

Strong writing skills

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