Quality Analytics and Innovation Specialist

Blue Cross of Idaho; Meridian (MS); On-site; USD 73,000 - 103,000; Full time

Benefits offered by this job

Paid time off

Medical insurance

401(k) matching

Life insurance

Disability insurance

Education reimbursement

Employee assistance plan

Adoption assistance program

Paid family leave

Job summary

Blue Cross of Idaho is seeking a Specialist to partner with compliance and QA leaders to strengthen controls and optimize quality assurance processes. You will lead data-driven initiatives to improve workflows and service delivery, and collaborate across teams to implement scalable solutions.

The role focuses on automation, AI-enabled enhancements, and rigorous analytics to measure outcomes and drive performance improvements. A Bachelor’s degree and 3 years of experience are required.

Qualifications

• Bachelor’s degree or equivalent work experience as described above.
• Experience partnering with compliance and operational leaders.

Responsibilities

• Partner with compliance and operational leaders to identify risks and strengthen controls.
• Lead initiatives to optimize quality assurance processes and service delivery models.
• Use data-driven analysis to drive continuous improvement and automation.
• Develop and maintain process documentation and implementation plans.
• Lead cross-functional projects from concept through implementation and adoption.
• Support audit readiness and compliance monitoring with robust analytics.

Skills

3 years relevant experience

Education

Bachelor’s Degree in Business, Healthcare, or related field

Equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)

Job description

Candidate Profile

We are looking for a Specialist with:

• Experience: 3 years’ relevant experience.
• Education: Bachelor’s Degree in Business, Healthcare, or related field; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college).

Day-to-Day Responsibilities

Partner with compliance and operational leaders to identify risks, strengthen controls, and improve oversight processes through data-driven insights. Partner with Quality Assurance leadership and operational teams to assess existing workflows, identify inefficiencies, reduce risk, and improve overall effectiveness. Lead initiatives that optimize quality assurance processes, operational procedures, and service delivery models through data-driven analysis and continuous improvement methodologies. Utilize root cause analysis, performance assessments, and operational diagnostics to identify improvement opportunities and drive sustainable solutions. Measure and monitor the effectiveness of process improvements, ensuring desired outcomes are achieved and business objectives are met. Develop and maintain process documentation, workflow maps, business requirements, and implementation plans that support operational consistency and quality performance. Lead the design, testing, implementation, and ongoing enhancement of automation, artificial intelligence, and technology-enabled solutions that improve quality monitoring, auditing, reporting, and workflow efficiency. Find opportunities to reduce manual effort and increase scalability through automation tools, advanced analytics, system integrations, and AI-driven capabilities. Serve as a subject matter expert on reporting technologies, automation platforms, AI solutions, and emerging tools that support quality assurance and operational excellence. Research industry trends and innovative technologies, recommending modern solutions that strengthen operational performance and organizational effectiveness. Collaborate with Quality Assurance leadership, operational teams, business stakeholders, data teams, and technology partners to define requirements, prioritize initiatives, and implement business solutions. Lead cross-functional projects from concept through implementation, including business case development, stakeholder alignment, testing, training, communication, change management, and adoption planning. Support audit readiness, compliance monitoring, and quality assurance programs through robust analytics, reporting, and monitoring capabilities. Partner with compliance and operational leaders to identify risks, strengthen controls, and improve oversight processes through data-driven insights.

Pay and Compensation

As of the date of this posting, a good faith estimate of the current pay range is $73,321 - $102,650. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

Benefits

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program.

• Paid time off
• Paid holidays
• Community service and self-care days
• Medical/dental/vision/pharmacy insurance
• 401(k) matching and non-contributory plan
• Life insurance
• Short and long term disability
• Education reimbursement
• Employee assistance plan (EAP)
• Adoption assistance program
• Paid family leave program

We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies.

Reasonable Accommodations

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Applicants must be legally authorized to work in the United States at the time of application and throughout employment. The company does not provide employment-based visa sponsorship for this position now or in the future.

Equal Opportunity Employer

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Blue Cross of Idaho Mission

Blue Cross of Idaho has taken our role as an Idaho-based health insurance company to heart since 1945. As a not-for-profit, we are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services. We aim to create a brighter future for all with the help of customer-centric professionals.

Your Health and Wellness Matters

At Blue Cross of Idaho, we care about the health and well-being of our employees. Our benefits aim to help make your life easier, healthier and more balanced.

Your Career Development Matters

We believe in employee growth, which is why we offer training, tools and numerous resources to assist with professional development.

Your Community Matters

Our employees care deeply about Idaho. We work together to positively impact communities throughout Idaho, and contribute our time through volunteering.

Contact for Assistance

Blue Cross of Idaho will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully use electronic and online job application systems. For assistance, please send an email to [e-mail].

Pay Transparency and Equal Opportunity

Equal Opportunity is the Law EEO is the Law Supplement E-Verify Pay Transparency