This job was posted by https://www.kansasworks.com : For more
information, please see: https://www.kansasworks.com/jobs/13575735 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
