Sr. Associate, Quality Operations

Cityblock Health

4d•$64,000 - $82,000

About The Position

In collaboration with the Manager, the Sr. Associate, Quality Operations acts cross-functionally to drive Cityblock’s quality performance in alignment with organizational objectives and contractual standards. The role advances HEDIS/Stars operational excellence by maintaining quality payor partnerships, managing vendor relations, supporting key quality initiatives, and delivering centralized, standardized support to local market and clinical teams.

Requirements

Bachelor's degree
3+ years of experience in HEDIS/Stars; broader experience in quality improvement, quality management, and/or population health management
3+ years of experience in Medicare, ACA, Marketplace, and/or Medicaid lines of business
Experience managing external partner relationships (health plans and/or vendors), including contractual/SLA oversight, combined with the ability to analyze quality data and translate it into actionable reporting (Excel/SQL or similar)
Experience designing, piloting, or improving operational workflows in a healthcare quality setting

Nice To Haves

CPHQ or equivalent certification a plus

Responsibilities

Serve as Quality SME for HEDIS/Stars specifications
Payor Relationship Management: Lead quality meetings for all payor partners to discuss Cityblock’s quality performance and shared priorities with plan partner. Support regular check-ins, quality initiatives, quality data sharing, and other ad hoc requests. Coordinate responses to payor requests, audits, and quality-related inquiries. Possess a deep understanding of contractual obligations.
Vendor Operations: Act as liaison for external vendors to support quality initiatives. Oversee vendor performance, ensuring timely deliverables and adherence to contractual expectations. Collaborate with Product, Data Platform, and other internal teams to ensure efficient operations.
Centralized Quality Support and Education: Provide centralized quality support to markets to ensure cross-organizational alignment and supporting coordination between quality, markets, and clinical teams. Analyze quality metrics and collaborate with markets as needed to achieve performance goals. Serve as a resource for quality support throughout all levels of the organization, e.g. replying to market requests, monitoring questions and feedback received in the quality-support slack channel, etc. Work closely with market teams to ensure provider and care team documentation meets HEDIS standards and supports effective gap closure.
Performance Improvement Workgroups: Support roll-out of quality strategic initiatives. Develop and support new processes and workflows to address Quality needs, and continuously monitor performance. Pilot new market-level initiatives and distill learnings to apply best practices towards national quality operations. Generate actionable insights and performance reporting to support market leaders in identifying, implementing, and tracking quality improvement initiatives.