BlueCross BlueShield of Tennessee logo
BlueCross BlueShield of Tennessee

Bringing peace of mind through better health to our customers and communities

Quality Incentive Consultant

ConsultantConsultantFull TimeRemoteSeniorTeam 5,001-10,000Since 1952H1B SponsorCompany SiteLinkedIn

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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