Sr. Associate, Quality Operations
Core
Sr. Associate driving HEDIS/Stars quality performance and operational excellence for Cityblock by managing payor partnerships, vendor relations, and centralized quality support.
Role type
Senior individual contributor quality operations specialist (HEDIS/Stars)
Builds
Quality performance reports, standardized support workflows, and vendor deliverables for health plans and clinical teams
Domain
Healthcare quality management, population health, and payor operations
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
HEDIS/Stars specifications expertise, payor relationship management, vendor operations oversight, quality metrics analysis, workflow design, contractual obligation management
Preferred skills
CPHQ certification, experience with Medicare/ACA/Marketplace/Medicaid lines of business
Technologies
Excel, SQL
Responsibilities
Lead quality meetings for payor partners, coordinate responses to payor audits and inquiries, oversee vendor performance and deliverables, analyze quality metrics to support performance goals, develop and pilot new quality processes and workflows, provide centralized quality support and education to market teams
Seniority
Senior, hands-on IC
