Supervisor Quality Performance

Blue Cross Blue Shield of Kansas • Manhattan, KS • 5h ago

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13570609 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, andNCQA 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