Manager - Clinical Performance

Department: Strategy and Operations

Location: 1600 Corporate Center Dr., Monterey Park, CA 91754

Compensation: $100,000 - $130,000 / year

Description

Astrana Health is seeking a strategic and execution-focused Manager, Clinical Performance to lead medical cost containment and clinical incentive performance initiatives across all IPAs and lines of business, including Medicare, Medi-Cal, and Commercial.

This role is ideal for someone who is comfortable working with data, skilled at identifying trends, and committed to turning insights into cross-functional action. You’ll collaborate with teams across Utilization Management, Case Management, Finance, Contracting, Provider Relations, Quality and Care Delivery to ensure strategy translates into measurable outcomes.

We’re looking for someone who is proactive, detail-oriented, and able to manage performance workstreams from insight to execution.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team
  
  

What You'll Do

• Lead and monitor initiatives that reduce medical spend and support clinical incentive performance across Medicare, Medi-Cal, and Commercial lines of business
• Translate performance data into actionable insights related to inpatient utilization, emergency department overuse, SNF/hospice spend, specialist leakage, and other key drivers
• Track and communicate progress on clinical incentive programs, ensuring relevant teams understand performance gaps and what’s needed to meet goals
• Support implementation of interventions such as:
  • High-cost case oversight and coordination
  • Observation vs. inpatient status workflows
  • Network direction and leakage reduction
• Use advanced Excel and basic SQL skills to extract and analyze data from internal and external platforms
• Maintain initiative trackers and performance dashboards; support scenario modeling and progress reporting
• Coordinate with internal teams and health plans to align on performance goals and program execution
• Ensure follow-through on clinical performance priorities across functional stakeholders
  
  

Qualifications

• Bachelor’s degree required; Master’s in Health Administration, Public Health, Nursing, or related field preferred
• 5+ years of experience in managed care, clinical operations, or performance management
• Strong understanding of clinical cost drivers and value-based care incentive programs (e.g., HEDIS, STAR, QIP)
• Comfortable working with data — advanced Excel skills required, and basic SQL or ability to learn
• Experience using PowerBI preferred
• Strong communication and project coordination skills
• Experience working cross-functionally with clinical and non-clinical teams
• Ability to manage multiple priorities, track progress, and drive follow-through
  
  

Environmental Job Requirements and Working Conditions

• Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis.. This position will report to our Monterey Park corporate office at 1600 Corporate Center Drive.
• The target pay range for this role is: $100,000 - $130,000. This salary range represents our national target range for this role.
  

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.

Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.