Sign upLog in
See more jobs

Supervisor Quality Performance

Blue Cross Blue Shield of Kansas
  • Pittsburg, Kansas
    30+ days ago

    Job Description

    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.
    • FamilyComes 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 qual

    Numbers & Facts

    LocationPittsburg, Kansas

    Skills

    • Analysis Skillsunmatched
    • Auditingunmatched
    • Business Administrationunmatched
    • Centers for Medicare and Medicaid Services (CMS)unmatched
    • Coachingunmatched
    • Communication Skillsunmatched
    • Continuous Improvementunmatched
    • Data Qualityunmatched
    • Delivery Managementunmatched
    • Dental Insuranceunmatched
    • Disciplinary Actionunmatched
    • Employee Terminationsunmatched
    • Fitnessunmatched
    • Health Information Technologyunmatched
    • Health Planunmatched
    • Healthcareunmatched
    • Healthcare Administrationunmatched
    • Healthcare Effectiveness Data and Information Set (HEDIS)unmatched
    • Healthcare Qualityunmatched
    • Incentive Programsunmatched
    • Leadershipunmatched
    • Maintain Complianceunmatched
    • Medicareunmatched
    • Metricsunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Nursingunmatched
    • Operational Auditunmatched
    • Organizational Skillsunmatched
    • People Managementunmatched
    • Performance Analysisunmatched
    • Performance Metricsunmatched
    • Policy Developmentunmatched
    • Policy Implementationunmatched
    • Procedure Implementationunmatched
    • Process Improvementunmatched
    • Productivity Managementunmatched
    • Project/Program Managementunmatched
    • Public Healthunmatched
    • Quality Managementunmatched
    • Quality Metricsunmatched
    • Record Keepingunmatched
    • Regulationsunmatched
    • Regulatory Reportsunmatched
    • Regulatory Requirementsunmatched
    • Staff Developmentunmatched
    • Staff Trainingunmatched
    • Team Buildingunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Training Programunmatched
    • Training/Teachingunmatched
    • Trend Analysisunmatched
    • Vision Planunmatched

    Be found by employers

    5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.

    Level up your application

    Professional resume templates

    Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.

    Free resume templates

    Free resume builder

    Improve your existing resume or start from scratch and create a standout, ATS-friendly resume. Add job-specific content, download and apply.

    Free resume builder