Quality Analytics and Innovation Specialist

Blue Cross of Idaho • Meridian, ID

2d

About The Position

Responsible for leading the development and implementation of innovative quality assurance solutions that improve operational efficiency, automate manual processes, and enhance audit and quality outcomes. Leading the development and implementation of data-driven, automated, and AI-enabled solutions that improve quality outcomes, operational efficiency, and audit effectiveness. Partners with Quality Assurance, Operations, and Technology teams to transform quality processes, reduce administrative burden, and create scalable solutions that support continuous improvement across the organization.

Requirements

• 3 years’ relevant experience
• Bachelor’s Degree in Business, Healthcare, or related field; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college)

Responsibilities

• Partner with compliance and operational leaders to identify risks, strengthen controls, and improve oversight processes through data-driven insights.
• Partner with Quality Assurance leadership and operational teams to assess existing workflows, identify inefficiencies, reduce risk, and improve overall effectiveness.
• Lead initiatives that optimize quality assurance processes, operational procedures, and service delivery models through data-driven analysis and continuous improvement methodologies.
• Utilize root cause analysis, performance assessments, and operational diagnostics to identify improvement opportunities and drive sustainable solutions.
• Measure and monitor the effectiveness of process improvements, ensuring desired outcomes are achieved and business objectives are met.
• Develop and maintain process documentation, workflow maps, business requirements, and implementation plans that support operational consistency and quality performance.
• Lead the design, testing, implementation, and ongoing enhancement of automation, artificial intelligence, and technology-enabled solutions that improve quality monitoring, auditing, reporting, and workflow efficiency.
• Find opportunities to reduce manual effort and increase scalability through automation tools, advanced analytics, system integrations, and AI-driven capabilities.
• Serve as a subject matter expert on reporting technologies, automation platforms, AI solutions, and emerging tools that support quality assurance and operational excellence.
• Research industry trends and innovative technologies, recommending modern solutions that strengthen operational performance and organizational effectiveness.
• Collaborate with Quality Assurance leadership, operational teams, business stakeholders, data teams, and technology partners to define requirements, prioritize initiatives, and implement business solutions.
• Lead cross-functional projects from concept through implementation, including business case development, stakeholder alignment, testing, training, communication, change management, and adoption planning.
• Support audit readiness, compliance monitoring, and quality assurance programs through robust analytics, reporting, and monitoring capabilities.

Benefits

• paid time off
• paid holidays
• community service and self-care days
• medical/dental/vision/pharmacy insurance
• 401(k) matching and non-contributory plan
• life insurance
• short and long term disability
• education reimbursement
• employee assistance plan (EAP)
• adoption assistance program
• paid family leave program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level