Note: The job is a remote job and is open to candidates in USA. Blue Cross and Blue Shield of Kansas is seeking a Clinical Quality & Accreditation Operations Associate to support clinical quality reporting, accreditation, and improvement programs. The role focuses on managing quality data and reports, monitoring performance, maintaining documentation, and providing administrative and operational support for clinical quality initiatives.
Responsibilities
- Support clinical quality reporting and improvement initiatives, including HEDIS, accreditation, value‑based programs, and internal measures, ensuring alignment with regulatory and organizational requirements
- Collect, validate, analyze, and submit quality, enrollment, cost, and population risk data and reports, ensuring accuracy, compliance, and timely delivery
- Monitor quality performance, identify trends and gaps, and develop, organize, and maintain program and process documentation in a centralized repository
- Provide administrative and operational support for clinical quality programs, including meeting coordination, documentation management, logistics, and maintenance of electronic files, shared resources, and databases
- Track action items, deadlines, and deliverables; assist with reports, presentations, communications, and provide cross‑coverage and backup support across lines of business during peak workloads or absences
Skills
- Applicants must reside in Kansas or Missouri or be willing to relocate as a condition of employment
- Knowledge of clinical quality, accreditation, and value‑based programs (including HEDIS and internal measures) with the ability to support compliant, timely reporting and improvement initiatives
- Ability to collect, validate, analyze, and submit quality, enrollment, cost, and population risk data with strong attention to accuracy, deadlines, and regulatory requirements
- Strong organizational skills with the ability to manage documentation, maintain tracking tools, and ensure accuracy, consistency, and timely updates across clinical quality programs
- Strong attention to detail, data accuracy, and communication skills required
- Proficiency with operating systems and standard business software and healthcare reporting systems required
- Able to manage priorities and meet deadlines in a changing environment required
- High school diploma required
- Experience in healthcare quality, reporting, or administrative support across multiple lines of business required
- Experience with clinical quality measures, regulatory reporting, audits, and quality improvement activities (e.g., HEDIS, CMS, NCQA) required
- Ability to stand or sit for extended periods
- Ability to look at a computer screen for prolonged periods
- Occasional walking, bending, or reaching within the office environment
- Ability to lift and carry up to 15 pounds
- Ability to bend, kneel, stoop, or reach
- Bachelor's degree preferred
Benefits
- Paid vacation and sick leave with paid maternity and paternity available immediately upon hire
- Ongoing training and development programs
- A work environment that promotes flexibility
- 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
- Eligible to work remotely, hybrid or onsite in accordance with the Telecommuting Policy
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