[Hiring] Senior Associate, Quality Operations @Cityblock Health

Role Description

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.

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.

Qualifications

• 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; CPHQ or equivalent certification a plus

Requirements

• 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: $64,000.00 - $82,000.00 Annual

Benefits

• Cityblock 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.