Hiring: Quality Analyst (Remote) Company: CareFirst BlueCross BlueShield Location: Baltimore, MD Job Posted Time: 2026-09-10 11:49:30 Target Skills & Keywords : HIPAA, Microsoft Excel, Microsoft Office, Python, R, SQL About the job Experience: •3 years professional experience in a business environment (public health, health insurance, management consulting fields preferred); evidence of progressing levels of responsibility. Required Skills: •Perform medical record abstraction, research, and quality review by applying current HEDIS and NCQA measure specifications, company training guidelines, and project requirements. •Accurately document findings, create and resolve routine pends, support discrepancy resolution, and maintain productivity, turnaround, accuracy, and quality expectations. •Analyze workflow, quality, productivity, and measurement trends to identify improvement opportunities, support targeted retrieval and gap-closure strategies, prepare actionable reports or summaries, and collaborate with internal teams, vendors, and provider-facing partners to improve HEDIS and quality outcomes across lines of business. Qualifications: •Bachelor's Degree in population health, public health, healthcare administration, business administration, health policy, economics, statistics, mathematics, data science, or a related field; OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. •RN-BC - Certified General Nursing Practice. •Certification in Quality or Process Improvement Methods preferred. •Direct experience with HEDIS, NCQA accreditation, CAHPS, CMS quality programs, Stars, quality improvement, regulatory reporting, or related quality activities in a healthcare, managed care, payer, provider, or HEDIS vendor environment. •Data analytics experience working with healthcare data, large data sets, dashboards, trackers, or reports to answer clinical, operational, quality, or business questions. •At least two consecutive HEDIS seasons with the same company preferred. •Knowledge, Skills And Abilities (KSAs) •Expertise in qualitative and quantitative data analyses and presentations •End-to-end experience designing, developing, and implementing innovative strategies to improve population health. Compensation: •$63,576 - $126,269 / year •Competitive benefits and rewards package Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!