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Healthcare Operations Jobs in Rhode Island (NOW HIRING)

Astrana Health

QCI Specialist I

Johnston, RI · Remote

$25 - $29/hr

Certified Professional in Healthcare Quality (CPHQ) or other relevant healthcare quality certification preferred. Knowledge, Skills, and Abilities * Strong knowledge of managed care operations ...

Astrana Health, Inc.

QCI Specialist I

Johnston, RI · Remote

$25 - $29/hr

Certified Professional in Healthcare Quality (CPHQ) or other relevant healthcare quality certification preferred. Knowledge, Skills, and Abilities * Strong knowledge of managed care operations ...

Powersolv

EMR Informaticist

Providence, RI · On-site

Demonstrate knowledge of clinical workflows and healthcare operations. * Familiarity with clinical device integration workflows (e.g., IV pumps, bedside monitoring devices) and their interaction with ...

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All JobsHealthcare Operations JobsHealthcare Operations Jobs in Rhode Island

Healthcare Operations information

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$9

$23

$48

How much do healthcare operations jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for healthcare operations in Rhode Island is $23.65, according to ZipRecruiter salary data. Most workers in this role earn between $15.05 and $27.07 per hour, depending on experience, location, and employer.

What is healthcare operations?

Healthcare operations refer to the day-to-day administrative, financial, and logistical activities that support the delivery of healthcare services. These operations include tasks such as patient scheduling, billing, compliance with healthcare regulations, supply chain management, and optimizing workflows to enhance patient care and organizational efficiency. Effective healthcare operations are essential for ensuring that healthcare facilities run smoothly, resources are used efficiently, and patients receive high-quality care.

What are the key skills and qualifications needed to thrive in healthcare operations?

Success in Healthcare Operations requires expertise in healthcare administration, process improvement, and regulatory compliance, often supported by a degree in health administration or a related field. Familiarity with health information systems (HIS), data analytics tools, and compliance management software is typically necessary. Strong leadership, problem-solving abilities, and effective communication skills help professionals coordinate teams and manage complex workflows. These skills ensure efficient operations, regulatory adherence, and high-quality patient care in dynamic healthcare environments.

What are some common challenges faced in a healthcare operations role, and how can they be addressed?

Healthcare Operations professionals often contend with balancing patient care quality, regulatory compliance, and cost control. A common challenge is streamlining processes to reduce wait times and improve resource allocation while adhering to strict healthcare regulations. Effective communication with clinical staff and leveraging healthcare technology (like EHR systems) can help address these issues. Continuous process improvement and cross-functional teamwork are essential for overcoming these operational hurdles and maintaining efficient, patient-centered care.

What is the difference between Healthcare Operations vs Healthcare Administration?

AspectHealthcare OperationsHealthcare Administration
CredentialsVaries; often includes certifications in healthcare management or related fieldsTypically requires degrees in healthcare administration, health services management, or related fields
Work EnvironmentHospitals, clinics, healthcare facilities focusing on daily operational tasksOffices, healthcare organizations overseeing overall management and policy
Employer & Industry UsageUsed across healthcare providers to manage daily functionsUsed in healthcare organizations for strategic and administrative oversight

Healthcare Operations focuses on managing daily healthcare facility functions, ensuring smooth patient flow and resource management. Healthcare Administration involves overseeing the broader organizational policies, strategic planning, and overall management of healthcare institutions. While both roles are essential, Healthcare Operations is more hands-on with daily tasks, whereas Healthcare Administration emphasizes leadership and strategic decision-making.

How to get a job in healthcare operations?

To get a job in healthcare operations, candidates typically need a bachelor's degree in healthcare administration, business, or a related field, along with experience in healthcare settings. Developing skills in management, data analysis, and familiarity with healthcare regulations and electronic health record systems can improve job prospects. Certifications such as the Certified Healthcare Administrative Professional (cHAP) can also enhance qualifications.

What do you do in healthcare operations?

Healthcare operations professionals manage the daily functions of healthcare facilities, including staffing, patient flow, billing, compliance, and quality improvement. They ensure efficient service delivery by coordinating between departments and implementing policies, often using healthcare management software and data analysis tools.

What are the most commonly searched types of Healthcare Operations jobs in Rhode Island?

The most popular types of Healthcare Operations jobs in Rhode Island are:

What cities in Rhode Island are hiring for Healthcare Operations jobs?

Cities in Rhode Island with the most Healthcare Operations job openings:

Healthcare Operations jobs near you
Infographic showing various Healthcare Operations job openings in Rhode Island as of August 2026, with employment types broken down into 90% Full Time, 9% Part Time, and 1% Contract. Highlights an 93% Physical, 3% Hybrid, and 4% Remote job distribution, with an average salary of $49,200 per year, or $23.7 per hour.

QCI Specialist I

Astrana Health

Johnston, RI • Remote

$25 - $29/hr

Full-time

Posted 17 days ago

Job description

About the Role

The QCI Specialist I is responsible for supporting quality improvement initiatives that drive performance across HEDIS, Medicare Stars, Medicaid, Commercial, and other quality programs. This role collaborates with provider practices, health plans, and internal stakeholders to improve quality outcomes, close care gaps, support practice transformation efforts, and enhance provider performance. The QCI Specialist I provides practice-level support for quality improvement programs, provider education activities, population health initiatives, quality reporting, and care gap closure strategies while serving as a trusted resource to providers and practice staff.
Our Values:
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
Quality Performance & Program Management
  • Support day-to-day execution of quality improvement programs, provider performance initiatives, and population health strategies.
  • Monitor provider performance against HEDIS, Medicare Stars, Medicaid, Commercial, and other quality measures; analyze results and recommend improvement opportunities.
  • Collaborate with providers and practice staff to implement care gap closure, outreach, education, and quality improvement interventions that support achievement of performance targets.
  • Collect, validate, and submit medical record documentation and quality data to ensure accurate reporting, measurement, and compliance.
Provider & Practice Engagement
  • Partner with provider practices through onsite and virtual engagement to improve quality performance, operational effectiveness, and patient outcomes.
  • Provide education and serve as a subject matter resource on HEDIS, Medicare Stars, NCQA standards, documentation requirements, quality reporting, and performance improvement strategies.
  • Present performance results, best practices, and recommendations while maintaining strong relationships with providers, health plans, and internal stakeholders.
Practice Transformation & Performance Improvement
  • Support practice transformation initiatives through workflow analysis, process redesign, EHR optimization, documentation improvement, and population health management activities.
  • Develop and implement improvement plans, identify performance barriers, and collaborate with providers and care teams to drive sustainable quality and operational outcomes.
  • Support projects and initiatives designed to enhance service delivery, clinical quality, patient experience, and overall practice performance.
Compliance & Operational Excellence
  • Support quality audits, medical record reviews, and regulatory compliance activities in accordance with NCQA, CMS, HIPAA, and health plan requirements.
  • Maintain accurate documentation of quality initiatives and provider engagement activities while identifying opportunities to improve operational effectiveness.
  • Participate in provider, training, and organizational meetings and perform other duties or special projects as assigned.
Education
  • Bachelor's degree in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field preferred, or equivalent combination of education and relevant experience.
Experience
  • At least 1 year of experience in healthcare, managed care, population health, quality improvement, provider engagement, or related healthcare programs preferred
  • At least 1 year of experience supporting HEDIS, quality improvement, Medicare Stars, or quality reporting initiatives preferred
  • Experience working with provider practices, IPAs, MSOs, health plans, or outpatient clinical settings preferred.
  • Experience analyzing provider performance data and supporting quality improvement interventions preferred.
  • Familiarity with practice management operations, workflow improvement, and population health strategies preferred.
License/ Certifications (if applicable)
  • No certification is required.
  • Certified Professional in Healthcare Quality (CPHQ) or other relevant healthcare quality certification preferred.
Knowledge, Skills, and Abilities
  • Strong knowledge of managed care operations, quality improvement programs, HEDIS, Medicare Stars, NCQA standards, HIPAA requirements, population health management, and quality reporting methodologies.
  • Working knowledge of quality measure specifications, practice transformation, workflow redesign, EHR optimization, and documentation improvement strategies.
  • Strong analytical, critical-thinking, problem-solving, and organizational skills, with the ability to identify opportunities, implement solutions, and manage multiple priorities effectively.
  • Excellent provider relationship management, stakeholder engagement, communication, presentation, and interpersonal skills, with the ability to work independently and collaboratively across provider groups and internal departments.
  • Intermediate proficiency in Microsoft Excel, PowerPoint, reporting tools, and data analytics applications.
  • Demonstrated professionalism, accountability, integrity, attention to detail, and commitment to high-quality outcomes.
  • Fluency in Spanish and/or Portuguese preferred.
Preferred Qualifications
  • Experience supporting HEDIS, Medicare Stars, quality improvement, population health, provider performance, and practice transformation initiatives.
  • Experience working within Medicare Advantage, Medicaid, Commercial, or other managed care environments.
  • Experience conducting provider education, staff training, workflow redesign, and quality performance improvement activities.
  • Experience collecting, validating, analyzing, and reporting medical record and quality performance data to support operational and quality outcomes.
  • This position may collaborate with providers, practice staff, health plans, and internal stakeholders in remote, office, and provider office settings.
  • The employee must reside in Rhode Island, Massachusetts, or Connecticut.
  • Travel up to 50% may be required to support provider practices and organizational initiatives.
  • The employee must be able to attend meetings in person or virtually based on business needs.
  • Work requires regular use of computers, electronic health record systems, reporting platforms, and virtual communication tools.
  • The employee must comply with Astrana Health policies and procedures regarding patient privacy, protected health information, and all applicable federal and state regulations.

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