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We are seeking a dedicated, experienced professional in quality improvement to join the team at BlueCross BlueShield of Tennessee

Join us as a Quality Incentive Consultantand play a key role in shaping programs that directly elevate provider performance, improve quality ratings, and enhance patient satisfaction. In this impactful, relationshipdriven role, you'll collaborate closely with providers to solve problems, analyze trends, and translate data into meaningful improvements.

If you enjoy using your analytical skills and Excel expertise to tell a story and drive change and you're energized by clear communication, provider education, and continuous improvement, you'll thrive here. This is an opportunity to influence real outcomes, support provider success, and grow your career in a missionfocused environment committed to improving the healthcare experience.

Our ideal candidate will have:

Experience leading quality initiatives from planning through execution

Ability to manage multiple priorities with strong attention to detail

Comfortable presenting to varied audiences and influencing without authority

Quality background and/or HEDIS, Medicare, CMS Stars experience preferred

Strong analytical, technical, and digital skills

Creative and adaptable; eager to responsibly leverage enterpriseapproved AI and technology to improve care and efficiency

Strong familiarity with Excel and other major Microsoft applications

Note:

• Although we are based in Chattanooga, TN, this is a fully remote role. Candidates living in West Tennessee region are preferred- Jackson TN or Memphis TN.
• This role is fully remote but may require up to 60% travel to Provider Offices, Depending on the business needs.
• Sponsorship is not available for this position.

Job Responsibilities

• Work with contracted providers to resolve data issues related to line of business quality programs.
• Update and educate contracted providers and their staff of changes and updates to the clinical quality programs.
• Serves and educates contracted providers on measures in the line of business quality program, preferred quality reporting, quality measure clinical documentation and BCBST Quality programs policies, procedures, and technologies.
• Work with Supervisor to update policies and procedures as needed to improve operations of the line of business quality program.
• Travel required approximately 60% of the time
• Various immunizations and/or associated medical tests may be required for this position.

Job Qualifications

Education

• Bachelors Degree in a Health Related Discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education) or equivalent work experience required.

Experience

• 4 years - Quality improvement experience required
• 2 years - Experience in the healthcare industry required
• 1 year - Comprehensive knowledge base crossing all areas within Medicare, HEDIS and CMS Stars program

Skills\Certifications

• Demonstrated ability to effectively work with senior leadership teams
• Ability to speak in public and conduct effective presentations.
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Capacity to solve problems and manage multiple assignments with critical deadlines
• Excellent oral and written communication skills
• Strong analytical skills
• Demonstrated consumer healthcare market understanding/knowledge required

Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST-Owned Vehicle" Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.

Number of Openings Available

1

Worker Type:

Employee

Company:

BCBST BlueCross BlueShield of Tennessee, Inc.

Applying for this job indicates your acknowledgement and understanding of the following statements:

BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:

BCBST's EEO Policies/Notices

BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.