Quality Analytics and Innovation Specialist

We are looking for a Specialist with:

• Experience:
  
  3 years’ relevant experience.
• Education:
  
  Bachelor’s Degree in Business, Healthcare, or related field; or equivalent work experience (Two years’ relevant work experience is equivalent to one-year college).

Partner with compliance and operational leaders to identify risks, strengthen controls, and improve oversight processes through data-driven insights. Partner with Quality Assurance leadership and operational teams to assess existing workflows, identify inefficiencies, reduce risk, and improve overall effectiveness. Lead initiatives that optimize quality assurance processes, operational procedures, and service delivery models through data-driven analysis and continuous improvement methodologies. Utilize root cause analysis, performance assessments, and operational diagnostics to identify improvement opportunities and drive sustainable solutions.

Measure and monitor the effectiveness of process improvements, ensuring desired outcomes are achieved and business objectives are met. Develop and maintain process documentation, workflow maps, business requirements, and implementation plans that support operational consistency and quality performance. Lead the design, testing, implementation, and ongoing enhancement of automation, artificial intelligence, and technology-enabled solutions that improve quality monitoring, auditing, reporting, and workflow efficiency.

Find opportunities to reduce manual effort and increase scalability through automation tools, advanced analytics, system integrations, and AI-driven capabilities. Serve as a subject matter expert on reporting technologies, automation platforms, AI solutions, and emerging tools that support quality assurance and operational excellence. Research industry trends and innovative technologies, recommending modern solutions that strengthen operational performance and organizational effectiveness. Collaborate with Quality Assurance leadership, operational teams, business stakeholders, data teams, and technology partners to define requirements, prioritize initiatives, and implement business solutions.

Lead cross-functional projects from concept through implementation, including business case development, stakeholder alignment, testing, training, communication, change management, and adoption planning. Support audit readiness, compliance monitoring, and quality assurance programs through robust analytics, reporting, and monitoring capabilities. Partner with compliance and operational leaders to identify risks, strengthen controls, and improve oversight processes through data-driven insights.

As of the date of this posting, a good faith estimate of the current pay range is $73,321 - $102,650. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data.

At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance…