Clinical Operations Senior Analyst - Quality Improvement Operations
Blue Cross Blue Shield Association · Washington, District Of Columbia, US
This role leads and supports quality strategy and operations initiatives focused on clinical data, HEDIS processes, and performance improvement.
Job description
This role leads and supports quality strategy and operations initiatives focused on clinical data, HEDIS processes, and performance improvement. Responsibilities include managing projects related to data integration, HEDIS abstraction, NCQA audit support, clinical reporting, and the implementation and adoption of clinical and reporting applications. The role drives FEP’s annual HEDIS submissions, contributes to strategies to improve measure performance, collaborates with technical, analytic, and clinical partners, and delivers clear, targeted communication to diverse audiences. Success requires clinical expertise, strong organizational and management skills, and a proactive, curiosity driven approach to learning and new responsibilities. - Leadership and Initiative Management: Manages and provides leadership for various initiatives, including clinical data integration and governance, with a focus on quality improvement and care coordination. - Project and Data Management: Oversees and significantly contributes to the execution of complex, cross-functional projects. Manages the collection, analysis, and synthesis of data, utilizing various research methodologies and data models. - S...