Clinical Quality & Accreditation Operations Associate

Blue Cross & Blue Shield of Kansas, Inc.; Topeka (KS); Hybrid; USD 33,000 - 41,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

6 weeks parental leave

Fertility/Adoption assistance

Tuition reimbursement

401(k) matching 5%

Job summary

Blue Cross and Blue Shield of Kansas seeks a Clinical Quality & Accreditation Associate to support clinical quality reporting, monitoring, and improvement across programs. This role involves organizing data, ensuring regulatory compliance, and providing essential administrative support.

The position offers remote, hybrid, or onsite work in accordance with policy, with residency or relocation to Kansas or Missouri as required.

Qualifications

• Knowledge of clinical quality measures (HEDIS, CMS, NCQA) and internal measures.
• Ability to collect, validate, analyze, and submit quality data with attention to regulatory requirements.
• Strong organizational skills to manage documentation and tracking tools.
• Attention to detail and effective written and verbal communication.

Responsibilities

• Support clinical quality reporting and improvement initiatives across programs.
• Collect, validate, analyze, and submit quality, enrollment, cost, and population risk data.
• Monitor quality performance, identify trends, and document processes in a central repo.
• Provide administrative support including meeting coordination, documentation management, and cross‑coverage.

Skills

Quality reporting

Data accuracy

Communication

Prioritization

Education

High school diploma required

Bachelor's degree preferred

Tools

Healthcare reporting systems

Job description

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 Clinical Quality & Accreditation Associate supports clinical quality reporting, monitoring, and improvement activities across clinical quality programs. This role supports the development, implementation, and monitoring of clinical quality initiatives to improve healthcare outcomes, regulatory compliance, and performance metrics. The role contributes to the accuracy, timeliness, and organization of quality data, reporting processes, and program operations to support regulatory requirements, accreditation standards, and internal quality improvement initiatives. This role also provides essential administrative and operational support to ensure continuity, efficiency, and accuracy within clinical quality programs. “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

• Support clinical quality reporting and improvement initiatives, including HEDIS, accreditation, value‑based programs, and internal measures, ensuring alignment with regulatory and organizational requirements.
• Collect, validate, analyze, and submit quality, enrollment, cost, and population risk data and reports, ensuring accuracy, compliance, and timely delivery.
• Monitor quality performance, identify trends and gaps, and develop, organize, and maintain program and process documentation in a centralized repository.
• Provide administrative and operational support for clinical quality programs, including meeting coordination, documentation management, logistics, and maintenance of electronic files, shared resources, and databases.
• Track action items, deadlines, and deliverables; assist with reports, presentations, communications, and provide cross‑coverage and backup support across lines of business during peak workloads or absences.

What you need

• Knowledge of clinical quality, accreditation, and value‑based programs (including HEDIS and internal measures) with the ability to support compliant, timely reporting and improvement initiatives.
• Ability to collect, validate, analyze, and submit quality, enrollment, cost, and population risk data with strong attention to accuracy, deadlines, and regulatory requirements.
• Strong organizational skills with the ability to manage documentation, maintain tracking tools, and ensure accuracy, consistency, and timely updates across clinical quality programs.
• Strong attention to detail, data accuracy, and communication skills required.
• Proficiency with operating systems and standard business software and healthcare reporting systems required.
• Able to manage priorities and meet deadlines in a changing environment required.

Education and Experience

• High school diploma required; bachelor’s degree preferred.
• Experience in healthcare quality, reporting, or administrative support across multiple lines of business required.
• Experience with clinical quality measures, regulatory reporting, audits, and quality improvement activities (e.g., HEDIS, CMS, NCQA) required.

Physical Requirements

• Ability to stand or sit for extended periods.
• Ability to look at a computer screen for prolonged periods.
• Occasional walking, bending, or reaching within the office environment.
• Ability to lift and carry up to 15 pounds.
• Ability to bend, kneel, stoop, or reach.

Compensation

• $23.58 – 29.48 hourly
• Non - Exempt Grade 12

Our Commitment to Connection and Belonging

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.

For more than 70 years, Blue Cross and Blue Shield of Kansas has built a reputation of trust. As we move forward in this new era of health care we want to continue that tradition. Whether a member needs Blue Cross to cover an annual check-up or give them peace of mind during a major medical crisis, we want our members to know they can trust BCBSKS to meet their needs. Our mission: Being the insurer Kansans trust with their health.

At Blue Cross and Blue Shield of Kansas, we are committed to fostering a culture of connection and belonging, where mutual respect is at the foundation of our workplace. We provide equal employment opportunities to all individuals, regardless of race, color, religion, belief, sex, pregnancy (including childbirth, lactation, and related medical conditions), national origin, age, physical or mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military or veteran status, family or parental status, or any other characteristic protected by applicable law. Blue Cross and Blue Shield of Kansas conducts pre-employment drug screening, criminal conviction check, employment verifications and education as part of a conditional offer of employment.