Manager, HEDIS Operations

Blue Cross Blue Shield of Wyoming; Cheyenne (WY); On-site; USD 90,000 - 120,000; Full time

Job summary

Blue Cross Blue Shield of Wyoming is seeking a Manager, HEDIS Operations to lead the HEDIS improvement program and drive quality initiatives for better member care. You will guide cross-functional teams, collaborate with vendors and executives, and oversee data analysis to identify trends and implement effective strategies.

The role requires strong analytical abilities and experience in supervising teams, with proficiency in Microsoft Office tools.

Qualifications

• Bachelor’s degree in Health Care Administration, Business, or related field.
• Five (5) years of progressive experience with demonstrated technical knowledge.
• Two (2) years of supervisor or lead experience in a related field preferred.
• Strong analytical, organizational, planning, verbal, and written communication skills.
• Proficiency with Microsoft Office (PowerPoint, Word, Excel) is essential.

Responsibilities

• Drive strategic direction and execution of HEDIS improvement projects.
• Collaborate with intra-agency teams, vendors, and executive leadership to build and administer a comprehensive quality program aimed at improving member care.
• Research and propose new solutions; assist in implementing new strategies.
• Lead research, analysis, and evaluation of data to identify trends and develop programs to address care gaps.
• Effectively manage multiple projects in a fast-paced environment to meet deadlines.

Skills

Analytical skills

Verbal communication

Written communication

Planning

Organizational skills

Education

Bachelor’s degree in Health Care Administration, Business, or related field

Master’s degree preferred

Tools

Microsoft Office

PowerPoint

Excel

Job description

Overview

Blue Cross Blue Shield of Wyoming (BCBSWY) is a not-for-profit health insurer with offices throughout Wyoming. The organization focuses on integrity, compassion, and trust in delivering local health insurance solutions. This role is for the Manager, HEDIS Operations.

Responsibilities

• Drive strategic direction and execution of HEDIS improvement projects.
• Collaborate with intra-agency teams, vendors, and executive leadership to build and administer a comprehensive quality program aimed at improving member care.
• Research and propose new solutions; assist in implementing new strategies.
• Lead research, analysis, and evaluation of data to identify trends and develop programs to address care gaps.
• Effectively manage multiple projects in a fast-paced environment to meet deadlines.

Qualifications

• Bachelor’s degree in Health Care Administration, Business, or a related field (Master’s preferred).
• Five (5) years of progressive experience with demonstrated technical knowledge.
• Two (2) years of supervisor or lead experience in a related field preferred.
• Strong analytical, organizational, planning, verbal, and written communication skills.
• Proficiency with Microsoft Office (PowerPoint, Word, Excel) is essential.

Selected Information

• Location: All positions are based in Wyoming. Some roles may offer limited in-office/remote flexibility; in-office days may be required depending on the department.
• Equal Opportunity Employer. E-Verify used for employment eligibility. Reasonable accommodations provided upon request during the application process.

Note

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