Sr. Associate, Quality Operations

About the role

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
• 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
• 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
• 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.
• 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.

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; CPHQ or