Note: The job is a remote job and is open to candidates in USA. BlueCross BlueShield of Tennessee is seeking a dedicated and experienced professional in quality improvement to join their team as a Quality Incentive Consultant. In this role, you will shape programs that elevate provider performance, improve quality ratings, and enhance patient satisfaction by collaborating closely with providers to solve problems and analyze trends.
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
Skills
- Bachelors Degree in a Health Related Discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education) or equivalent work experience required
- 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
- Quality background and/or HEDIS, Medicare, CMS Stars experience preferred
- Candidates living in West Tennessee region are preferred- Jackson TN or Memphis TN
Benefits
- 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).
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