Blue Cross and Blue Shield of Louisiana

Lead Quality Improvement Analyst

Blue Cross and Blue Shield of Louisiana

full-time

Posted on:

Location Type: Remote

Location: LouisianaUnited States

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Job Level

About the role

  • Serves as a lead advisor within the Health Quality Department, guiding the design and execution of clinical quality improvement initiatives.
  • Supports strategic planning, leads cross-functional project teams, and ensures alignment with regulatory and accreditation standards.
  • Lead complex quality improvement projects from concept to completion.
  • Mentor and guide Quality Improvement Advisors and Associates.
  • Analyze clinical and operational data to identify improvement opportunities.
  • Develop and present performance reports to leadership and stakeholders.
  • Collaborate with providers and internal teams to drive engagement and performance.
  • Ensure compliance with HEDIS, Stars, CMS MIPS, and other clinical measures.

Requirements

  • Bachelor’s degree required in nursing, Public Health, Healthcare Administration, or related field.
  • Four years of related experience can be used in lieu of a Bachelor’s degree.
  • 7 years in healthcare quality improvement or clinical analytics.
  • Active (current and unrestricted) RN license to practice in Louisiana is required.
  • Strong leadership and project management skills.
  • Advanced data analysis and reporting skills.
  • Strong communication and mentoring abilities.
  • Knowledge of healthcare quality standards and metrics.
  • Experience in leading cross-functional teams.
  • Must be able to travel in personal vehicle statewide with some late-night returns and/or overnight stays.
Benefits
  • We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities.
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
clinical quality improvementdata analysisreportingproject managementhealthcare quality standardsclinical analyticsHEDISStarsCMS MIPS
Soft Skills
leadershipmentoringcommunicationcollaborationstrategic planning
Certifications
RN license