Supervisor Quality Performance

Make a

Positive Impact:

Your work will directly contribute to the health and well-being of Kansans.

Family Comes First:

Total rewards package that promotes the idea of family first for all employees. Paid vacation and sick leave with paid maternity and paternity available immediately upon hire

Professional Growth Opportunities:

Advance your career with ongoing training and development programs.

Dynamic Work Environment:

Collaborate with a team of passionate and driven individuals in a work environment that promotes flexibility.

Trust and Stability:

Work for one of the most trusted companies in Kansas with over 80 years of commitment, compassion and community.

Inclusive Work Environment:

We pride ourselves on fostering a workplace where everyone is valued and respected. Base compensation is only one component of your competitive Total Rewards package Incentive pay program (EPIP) Health/Vision/Dental insurance 6 weeks paid parental leave for new mothers and fathers Fertility/Adoption assistance 2 weeks paid caregiver leave 401(k) plan matching up to 5% Tuition reimbursement Health & fitness benefits, discounts and resources Accountable for performance monitoring, policy enforcement, termination process, disciplinary action, hiring, compliance and team development. Maintaining accurate records of all hiring, firing and disciplinary actions. Supervise abstraction staff, assign responsibilities, and ensure quality and productivity standards are met. Manage project timelines and deliverables for HEDIS operations and audits, ensuring alignment with regulatory deadlines. Drive improvements in abstraction workflow, accuracy, and efficiency through data validation, process refinement, and staff training. Oversee the year-round primary source verification (PSV) process to ensure completeness and integrity of supplemental data. Collaborate with internal departments (e.g., IT, Health Plan Quality, Compliance) and external partners to coordinate data requests, audit submissions, and chart retrieval efforts. Maintain current knowledge of HEDIS technical specifications, NCQA audit requirements, and CMS Medicare Star metrics. Support audit readiness and respond to auditor inquiries and data validation requests. Monitor team performance and provide coaching, training, and professional development. Contribute to the development and implementation of policies, procedures, and performance metrics for the quality operations team Analyze, track, and trend abstraction Proven expertise in HEDIS measures, abstraction methodologies, and NCQA audit protocols. Demonstrated success in managing quality improvement projects and abstraction operations. Strong leadership, communication, and organizational skills. Advanced working knowledge of HEDIS technical specifications and regulatory reporting. Bachelor's degree in health care administration, Business Administration, Public Health, Nursing, or a related field.

In lieu of degree:

Minimum 3 years of experience with HEDIS®, Star measures, or regulatory quality reporting Minimum 3 years of direct HEDIS®/Star abstraction or chart review experience. Minimum of 3 years of healthcare or quality management experience, including 2 years of project management. Minimum of 2 years' experience in a supervisory or lead role. Experience with Medicare Star Ratings and quality performance reporting. Certified Professional in Healthcare Quality (CPHQ) or related credential preferred. Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training. The range may vary above or below the stated amounts. To view full details and how to apply, please login or create a Job Seeker account