Clinical Quality & Accreditation Operations Associate

Blue Cross and Blue Shield of Kansas; Topeka (KS); Hybrid; USD 45,000 - 65,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

Paid parental leave (6 weeks)

Fertility/Adoption assistance

Caregiver leave

401(k) matching

Tuition reimbursement

Wellness benefits

Job summary

Blue Cross and Blue Shield of Kansas is seeking a Clinical Quality & Accreditation Associate to support quality reporting and improvement across programs, ensuring compliance and accurate data management.

The role offers remote, hybrid, or onsite options within Kansas/Missouri, with opportunities for professional growth and a supportive total rewards package.

Qualifications

• Experience in healthcare quality, reporting, or administrative support across multiple lines of business.
• Experience with clinical quality measures, regulatory reporting, audits, and quality improvement activities (e.g., HEDIS, CMS, NCQA).
• Proficiency with operating systems and standard business software and healthcare reporting systems.
• Ability to manage priorities and meet deadlines in a changing environment.

Responsibilities

• 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.

Skills

Clinical quality knowledge

Regulatory reporting

Data analysis

Organization & documentation

Education

Bachelor's degree

High school diploma

Job description

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

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 remote, 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/Skills/Abilities

• 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)

Physical Requirements

Ability to stand or sit for extended periods. Ability to look at a computer screen for prolong