BlueCross BlueShield of Tennessee
Bringing peace of mind through better health to our customers and communities
Quality Incentive Consultant
Location
Tennessee
Posted
40 days ago
Salary
Not specified
Seniority
Senior
Bachelor Degree4 yrs expEnglish
Job Description
• 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
Job 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
- Various immunizations and/or associated medical tests may be required for this position.
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