Lead Quality Improvement Analyst

Overview

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. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions.

POSITION PURPOSE 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.

• 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.

• The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions.
• Perform other job-related duties as assigned, within your scope of responsibilities.
• Job duties are performed in a normal and clean office environment with normal noise levels.
• Work is predominately done while standing or sitting.
• The ability to comprehend, document, calculate, visualize, and analyze are required.

An Equal Opportunity Employer. All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI).

Please monitor your email frequently for communications during the recruiting process. Due to high application volume, only the most qualified will be contacted. To monitor status, visit the "My Applications" section in the Candidate Home in your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. Our properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer is extended and prior to hire for all positions. Records may be verified with agencies including the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus.

Individuals who have been convicted of a felony involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.

JOB CATEGORY: Data Analytics/Warehousing, & Business Intelligence