Healthcare Quality Improvement Program Lead

Blue Cross of Idaho; United States; On-site; USD 78,000 - 117,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Community service days

Medical/dental/vision/pharmacy ins.

401(k) matching

Life insurance

Disability insurance

Education reimbursement

Employee assistance plan (EAP)

Adoption assistance and paid family?le

Job summary

Blue Cross of Idaho's Healthcare Operations team seeks a seasoned program coordinator to advance quality and clinical improvement across all product lines. You will partner with cross‑functional teams, vendors, and procurement to organize workgroups and drive required improvements.

You will monitor vendor performance, manage contracts, support ROIs and annual incentives, and present risks and recommendations to leadership.

Qualifications

• 5 years healthcare field or relevant experience.
• Bachelor’s Degree or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college).

Responsibilities

• Collaborate with cross-functional teams, vendors, and business partners to organize efforts and workgroups targeted at quality improvement, member outreach, provider support, clinical improvement, and related program activities.
• Coordinate vendor and contracting activities supporting quality programs, including gathering business requirements, supporting requests for proposals or services, contract renewals and amendments, and implementation of approved services in partnership with Procurement and other internal stakeholders.
• Support ongoing management of quality vendors by monitoring contractual deliverables, service commitments, timelines, issues, and program performance, and coordinating appropriate follow-up with internal and external stakeholders.
• Identify, prioritize, sequence, and recommend initiatives for HEDIS measure improvement for each line of business.
• Maximize the opportunity for improvement while taking into consideration cost, benefit, available resources, and return on investment.
• Identify opportunities for quality and operational improvement using annual, prospective, vendor, and program data sources.
• Coordinate implementation of approved quality initiatives and vendor-supported programs, including workplans, timelines, business requirements, stakeholder coordination, and issue resolution.
• Track program, project, and vendor outcomes and present conclusions, risks, recommendations, and opportunities to leadership.
• Support departmental planning and oversight of vendor services, including contract requirements, renewals, invoices, budgets, and anticipated program needs.
• Coordinate and support cross-functional efforts to develop and implement improvement plans and operational solutions for all applicable lines of business.
• Present program results, analysis, status, risks, and recommendations to management, steering committees, vendors, and impacted work teams.
• Ensure documentation of improvement plans, vendor activities, contractual deliverables, decisions, and program outcomes.
• Perform other duties and responsibilities as assigned.

Skills

Cross-functional teamwork

Vendor management

Contracting

Quality improvement

Program coordination

Education

Bachelor's Degree or equivalent

Job description

Blue Cross of Idaho's Healthcare Operations team seeks a seasoned program coordinator to advance quality and clinical improvement across all product lines. You will partner with cross‑functional teams, vendors, and procurement to organize workgroups and drive required improvements.

You will monitor vendor performance, manage contracts, support ROIs and annual incentives, and present risks and recommendations to leadership.