Senior Quality Ops Lead: HEDIS & Payor Partnerships

Cityblock Health; United States; On-site; USD 64,000 - 82,000; Full time

Benefits offered by this job

Health insurance

Life insurance

Retirement benefits

Equity program

Paid time off

Job summary

Cityblock Health is seeking a Sr. Associate, Quality Operations to drive quality performance across markets, maintain payor partnerships, and support quality initiatives with centralized, standardized assistance to clinical teams.

Collaborating with Product, Data Platform, and market teams, you will analyze quality metrics, ensure adherence to HEDIS standards, and deliver insights to close performance gaps across the organization.

Qualifications

• Bachelor's degree or higher required.
• 3+ years in HEDIS/Stars or related quality improvement.
• Experience with Medicare/Medicaid lines of business and payor partnerships.
• CPHQ or equivalent certification is a plus.

Responsibilities

• Serve as Quality SME for HEDIS/Stars specifications.
• Lead payor partner quality meetings to discuss performance and priorities.
• Coordinate responses to audits and quality inquiries.
• Oversee vendor performance and contractual obligations.
• Collaborate with Product and Data Platform to ensure efficient operations.
• Analyze quality metrics and support market performance goals.
• Provide centralized quality support to markets and clinical teams.
• Develop and roll out quality initiatives and improvements.

Skills

HEDIS/Stars experience

Vendor management

Excel/SQL

Education

Bachelor's degree

Tools

Excel

SQL

Job description

Cityblock Health is seeking a Sr. Associate, Quality Operations to drive quality performance across markets, maintain payor partnerships, and support quality initiatives with centralized, standardized assistance to clinical teams.

Collaborating with Product, Data Platform, and market teams, you will analyze quality metrics, ensure adherence to HEDIS standards, and deliver insights to close performance gaps across the organization.