Quality Incentive Consultant

🕒 5 days ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

💼 Consultant

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BlueCross BlueShield of Tennessee

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1952

⚕️ Healthcare Insurance

Healthcare Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Collaborate closely with providers to solve problems, analyze trends, and translate data into meaningful improvements • 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 • Serve and educate 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

🎯 Requirements

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

🏖️ Benefits

• Innovative culture with the responsible use of AI-enabled tools • Professional development opportunities