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Claire Myers Consulting

Practice Transformation Strategist

santa barbara, CA

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About this opportunity

Claire Myers Consulting lists this Practice Transformation Strategist opportunity in santa barbara, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

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.

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.

Key Responsibilities

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 elevate 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

Support Medicare Star Ratings‑aligned initiatives

Provide guidance, education, and support to internal teams and provider partners

Participate in internal and external stakeholder meetings as needed

Qualifications

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

Strong analytical, problem‑solving, and organizational skills

Excellent verbal and written communication skills

Ability to build strong relationships with internal and external stakeholders

Willingness to travel to provider offices for in‑person practice transformation support

Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint

Education and Experience

Advanced degree preferred

Five (5) years of experience in Medicare and/or Medi‑Cal managed care

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 working in a clinical or healthcare setting

Preferred Qualifications

Registered Nurse (RN) license

Professional certification such as CPHQ or HCC

Experience with HEDIS and NCQA audit standards

Knowledge of community‑based organizations and social service agencies

Compensation

$104,340 - $156,510

Seniority Level

Associate

Employment Type

Full‑time

Job Function

Hospitals and Health Care

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Worksite address

santa barbara, CA, 93190, US

Who can apply

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