Senior Manager, Accreditation and Quality
Blue Cross Blue Shield Association - Washington, DC
Hiring: Senior Manager, Accreditation and Quality Company: Blue Cross Blue Shield Association Location: Washington, DC Job Posted Time: 2026-09-16 10:40:37 Target Skills & Keywords : Microsoft Office, Microsoft PowerPoint, Project Management About the job Experience: •Required 7+ Years experience in the health care industry with progressive responsibility in project management Qualifications: •Required Bachelor's Degree in related discipline or Registered Nurse, equivalent clinical discipline or equivalent work experience •In-depth knowledge of the healthcare industry, including managed care, provider reimbursement, contracting, population health, barriers to care and quality. •Operational familiarity with health care improvement literature. •Able to interpret empirical studies from the medical literature and apply the concepts to the FEP and Plan applications. •Subject matter expert in HEDIS and NCQA and URAC accreditation standards and processes. •Demonstrated capacity to perform clinical and technical oversight for accreditation operations and HEDIS and CAHPS quality improvement, including research. •Demonstrated experience in leading significant cross-functional work with multiple subject matter experts and functional teams. •Excellent project management skills. •Demonstrated capacity to design and interpret quantitative and qualitative member research, including developing and reviewing qualitative research scripts and editing study reports for compliance with accreditor standards •Excellent interpersonal and communication skills, including both presentation and written. Advanced PowerPoint skills a requirement. Compensation: •This job is also eligible for annual bonus incentive pay 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!