Clinical Quality & Accreditation Operations Specialist

Blue Cross & Blue Shield of Kansas, Inc.; Kansas; Hybrid; USD 33,000 - 40,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

6 weeks parental leave

Fertility/adoption support

Caregiver leave

401(k) match

Tuition reimbursement

Health & fitness benefits

Job summary

Blue Cross and Blue Shield of Kansas seeks a Clinical Quality & Accreditation Operations Associate to support clinical quality reporting and improvement across programs. The role ensures accuracy and timeliness in data collection, validation, and reporting to meet regulatory and accreditation standards.

The position supports administrative and operational tasks, coordinating meetings, maintaining electronic files, and backing up across lines of business to sustain program continuity.

Qualifications

• Knowledge of clinical quality, accreditation, and value-based programs (HEDIS and internal measures).
• Ability to collect, validate, analyze, and submit quality data with accuracy and timeliness.
• Strong organizational skills and attention to detail in documentation and tracking.

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

HEDIS knowledge

Regulatory reporting

Data analysis

Documentation management

Communication skills

Healthcare systems

Multitasking

Education

High school diploma

Bachelor’s degree preferred

Experience in healthcare quality

Job description

Blue Cross and Blue Shield of Kansas seeks a Clinical Quality & Accreditation Operations Associate to support clinical quality reporting and improvement across programs. The role ensures accuracy and timeliness in data collection, validation, and reporting to meet regulatory and accreditation standards.

The position supports administrative and operational tasks, coordinating meetings, maintaining electronic files, and backing up across lines of business to sustain program continuity.