Supervisor Quality Performance

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 onsite or hybrid (9 or more days a month onsite), or remote in accordance with our Telecommuting Policy. Applicants must reside in Kansas, Missouri or be willing to relocate to another approved state as a condition of employment.”


Why Join Us?

• Family Comes First: Total rewards package that promotes the idea of family first for all employees; including paid time off and family first leave.
• Professional Growth Opportunities: Advance your career with ongoing training and development programs both through our internal Blue University and external opportunities.
• Dynamic Work Environment: Collaborate with a team of passionate and driven individuals.
• Make a Positive Impact: Your work will directly contribute to the health and well-being of Kansans.
• Stability: 80 years of commitment, compassion, and community
• Networking Opportunities: Participate in our corporate intern program and network with other interns at BCBSKS to enhance your learning opportunity.

Compensation

$72,000- $86,000
Exempt 15
• Blue Cross and Blue Shield of Kansas offers excellent competitive compensation with the goal of retaining and growing talented team members. The compensation range for this role is a good faith estimate, it is estimated based on what a successful candidate might be paid. All offers presented to candidates are carefully reviewed to ensure fair, equitable pay by offering competitive wages that align with the individual's skills, education, experience, and training.

Are you ready to make a difference? Choose to work for one of the most trusted companies in Kansas.

What you’ll do

Responsibilities: 

• 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: 

• High School Diploma or Equivalent required.
• 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 required.
• Minimum of 2 years’ experience in a supervisory or lead role required.
• Experience with Medicare Star Ratings and quality performance reporting preferred
• Certified Professional in Healthcare Quality (CPHQ) or related credentia