Supervisor, Quality Management

Supervisor, Quality Management Blue Shield of CA United States, California, El Dorado Hills 4205 Town Center Boulevard (Show on map) May 06, 2026 Your Role The Clinical Quality team oversees and is responsible for HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Supervisor will report to the Manager of the HEDIS Outreach Team. In this role, you will be primarily responsible for overseeing HEDIS pursuit activities in collaboration with the Manager and Sr. Manager. In addition, this role is responsible for overseeing member outreach activities for care gap closure as well as overseeing temp staff working in the Long Beach office. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a bachelor's degree in Nursing, Public Health, or other related field
Requires at least 7 years of prior relevant experience including 3 years of experience operating in a lead role
Required knowledge of computer applications including Microsoft Word, PowerPoint and Excel, internet knowledge with the ability to complete searches
Required communication and interpersonal skills
Must be organized with the ability to keep accurate notes and records
Required customer service experience
Required HEDIS process and measure knowledge
Required ability to lead a team Hybrid Virtual Work This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.