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Blue Cross and Blue Shield of Kansas Linkedin · Posted 22d ago

Supervisor Quality Performance

Topeka, Kansas, United States

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Indexed description

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

information, please see: https://www.kansasworks.com/jobs/13569703 **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**

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