Provider Data Quality Analyst — Hybrid, Impact & Compliance

Blue Cross Blue Shield of Kansas; Topeka (KS); Hybrid; USD 33,000 - 39,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

Dental insurance

Parental leave

Fertility/Adoption assistance

Caregiver leave

401(k) match

Tuition reimbursement

Health & fitness benefits

Job summary

Blue Cross and Blue Shield of Kansas seeks a Quality Analyst to ensure provider records are accurate and compliant with BCBS Association and federal rules. The role audits production data, logs errors, and recommends fixes within training procedures. Training onsite for 90 days; then hybrid or onsite depending on Telecommuting policy.

Kansas or Missouri residency or willingness to relocate required. Responsibilities include data quality improvements, communicating with supervisors, regulators,

Qualifications

• High school graduate; college courses in business, management, accounting or communications preferred.
• Experience with relational systems and data files; Microsoft Office and Acrobat knowledge helpful.
• Familiarity with regulatory language and contracts preferred.

Responsibilities

• Research quality improvements; correct data errors in training and procedures.
• Provide feedback to supervision to improve data accuracy.
• Serve as primary contact for provider data accuracy inquiries.
• Identify and review statistically valid data samples for team members.
• Track error categories and report on corrective actions and needs.
• Coordinate data accuracy resolution with relations and provider records.
• Respond to inquiries from the Association, regulators, and CMS within timeframes.
• Establish annual project plans to ensure ongoing data accuracy.

Skills

Procedural writing

Audit language understanding

Communication skills

Research and documentation

Team collaboration

Organization

Prioritization

Provider data systems

Education

High school diploma

College courses in business/management/accounting/communications

Tools

IPS system

BluECM workflow

Job description

Blue Cross and Blue Shield of Kansas seeks a Quality Analyst to ensure provider records are accurate and compliant with BCBS Association and federal rules. The role audits production data, logs errors, and recommends fixes within training procedures. Training onsite for 90 days; then hybrid or onsite depending on Telecommuting policy.

Kansas or Missouri residency or willingness to relocate required. Responsibilities include data quality improvements, communicating with supervisors, regulators,