Network Hospital Quality Lead - Data-Driven Improvement

Blue Cross & Blue Shield of Mississippi; Flowood (MS); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Onsite gym

Walking track

Café on campus

Competitive benefits package

401(k)

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Network Hospital Quality Coordinator to drive data-driven decision making that enhances the quality of care across Network Hospitals and Providers, aligned with regulatory and accreditation standards.

The role collaborates with hospitals and providers to develop and implement improvement plans based on evidence-based practices and value-based initiatives, requiring strong analytical and leadership skills to ensure patient care excellence.

Qualifications

• Bachelor’s degree in a business-related field or clinical designation such as RN.
• Five years of healthcare administration or clinical experience.
• Experience analyzing and trending healthcare data.
• Experience developing and implementing provider/hospital quality improvement programs.
• Proficiency with Word and Excel.
• Ability to travel and work flexible hours.
• Strong knowledge of healthcare quality and provider performance.

Responsibilities

• Review data and KPIs to identify trends and opportunities for improvement.
• Develop, implement and monitor quality improvement projects per the CQM and value-based initiatives.
• Ensure adherence to federal and state regulations and standards (CMS, The Joint Commission).
• Conduct audit projects and develop corrective action plans for identified gaps.
• Research best practices for clinical care and update measures for reimbursement programs.
• Present actionable data to improve performance and build trust.

Skills

Healthcare data analysis

Dashboarding (Excel)

Project leadership

Regulatory knowledge

Data visualization

Interpersonal communication

Education

Bachelor’s degree in business or healthcare (RN acceptable)

Master’s degree preferred

Tools

Microsoft Word

Microsoft Excel

MS Access/Visio (preferred)

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Network Hospital Quality Coordinator to drive data-driven decision making that enhances the quality of care across Network Hospitals and Providers, aligned with regulatory and accreditation standards.

The role collaborates with hospitals and providers to develop and implement improvement plans based on evidence-based practices and value-based initiatives, requiring strong analytical and leadership skills to ensure patient care excellence.