Senior Associate, Quality Operations
Cityblock Health
Job Description:
Job Description
The Sr. Associate of Quality Operations works with the Manager to implement the quality roadmap to drive quality measure performance across the organization. Internal capabilities can include managing and auditing incoming and outgoing files between Cityblock and the payor partners, a deep understanding of HEDIS/STARs measures, mastery of contracts and measures, systems integration to surface opportunities, vendor support, and assistance with intervention development.
Responsibilities
Implement and lead the quality roadmap to drive quality measure performance across the organization, including the development of actionable dashboards, systems integrations, vendor support, and data-informed playbooks.
Develop quality performance models to support growth negotiations and strategic planning.
Oversee the intake, validation, and management of quality data from all payors, ensuring accuracy, completeness, and timeliness.
Partner with Client Reporting and Analytics to establish, audit, and submit supplemental files for all payors in compliance with HEDIS, NCQA, CMS, and contractual requirements.
Collaborate with Quality Analytics and Quality Operations to ensure reporting, dashboards, and operational workflows are aligned with closing HEDIS and STARs gaps.
Work closely with market teams to ensure provider and care team documentation meets HEDIS standards and supports effective gap closure.
Generate actionable insights and performance reporting to support market leaders in identifying, implementing, and tracking quality improvement initiatives.
Support quality tooling and technology implementations, ensuring proper validation, quality checks, and effective use across the organization while contributing to a high-performing, collaborative quality team.
Work Experience
3+ years of experience in healthcare related experience in HEDIS and Stars
5+ years of experience in quality improvement/management, and/or population health management
3+ years of experience in Medicare, ACA, Marketplace, Medicaid lines of business
We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for health insurance, life insurance, retirement benefits, participation in the company’s equity program, paid time off, including vacation and sick leave. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location. The expected salary range for this position is:
$90,000.00 - $100,000.00Cityblock values diversity as a core tenet of the work we do and the populations we serve. We are an equal opportunity employer, indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
We do not accept unsolicited resumes from outside recruiters/placement agencies. Cityblock will not pay fees associated with resumes presented through unsolicited means.