Quality Operations Senior Associate (HEDIS/Stars) Remote

Cityblock; Northern (KY); Hybrid; USD 64,000 - 82,000; Full time

Benefits offered by this job

Health insurance

Retirement benefits

Equity program

Paid time off

Job summary

Cityblock is seeking a Sr. Associate, Quality Operations to drive HEDIS/Stars performance, manage payor partnerships, oversee vendor relationships, and provide centralized quality support across markets and clinical teams in a remote USA setting.

In collaboration with the Manager, you will analyze quality metrics, coordinate audits, develop workflows, and pilot initiatives to raise national quality operations, with opportunities for growth through cross-functional collaboration and

Qualifications

• 3+ years of experience in HEDIS/Stars; broader experience in quality improvement, quality management, and/or population health management.
• 3+ years of experience in Medicare, ACA, Marketplace, and/or Medicaid lines of business.
• Experience managing external partner relationships (health plans and/or vendors), including contractual/SLA oversight, with the ability to analyze quality data and translate into actionable reporting (Excel/SQL or similar).
• Experience designing, piloting, or improving operational workflows in a healthcare quality setting; CPHQ or equivalent certification a plus

Responsibilities

• Serve as Quality SME for HEDIS/Stars specifications.
• Lead payor relationship management meetings to discuss quality performance and priorities with plan partners.
• Coordinate responses to payor requests, audits, and quality-related inquiries.
• Act as liaison for external vendors to support quality initiatives and oversee vendor performance.
• Provide centralized quality support to markets to ensure cross-organizational alignment and support coordination between quality, markets, and clinical teams.
• Analyze quality metrics and collaborate with markets to achieve performance goals.
• Work with market teams to ensure provider and care team documentation meets HEDIS standards and supports gap closure.
• Support rollout of quality strategic initiatives and pilot new market-level workflows

Skills

HEDIS/Stars knowledge

Quality data analysis

Vendor management

Workflow design

Education

Bachelor's degree

Tools

Excel

SQL

Job description

Cityblock is seeking a Sr. Associate, Quality Operations to drive HEDIS/Stars performance, manage payor partnerships, oversee vendor relationships, and provide centralized quality support across markets and clinical teams in a remote USA setting.

In collaboration with the Manager, you will analyze quality metrics, coordinate audits, develop workflows, and pilot initiatives to raise national quality operations, with opportunities for growth through cross-functional collaboration and