Supervisor Quality Performance at Blue Cross and Blue Shield of Kansas

Date: 3 weeks ago
City: Lawrence, KS
Contract type: Full time

This job was posted by https://www.kansasworks.com : For more

information, please see: https://www.kansasworks.com/jobs/13575727 Are

you ready to make a difference? Choose to work for one of the most

trusted companies in Kansas.

You Belong At Blue

  • Why Join Us?
  • 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.

Benefits & Perks

  • 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
Job Summary The Supervisor of Quality Performance is responsible for leading a

high-performing team in the end-to-end abstraction of healthcare data,

including prospective, retrospective, and supplemental collection. This

role ensures adherence to quality and productivity standards while

managing timelines and deliverables for HEDIS operations and audits. The

Supervisor drives continuous improvement in abstraction workflows

through data validation, process optimization, and staff development.

"This position is eligible to work remotely, hybrid or onsite in

accordance with our Telecommuting Policy. Applicants must reside in

Kansas or Missouri or be willing to relocate as a condition of

employment."

What you'll do

  • 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
What you need

Knowledge/Skills/Abilities

  • 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.

Education And Experience

  • 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.

Compensation

\$73,920- \$92,400

Exempt Grade 15**

Browse All Jobs in This State

Explore full job listings for the area:: Jobs in Lawrence | Jobs in Kansas