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Provider Quality Consultant
2 months ago
We are seeking a highly skilled Provider Quality Consultant to join our team at BlueCross BlueShield of Tennessee. As a key member of our organization, you will play a critical role in ensuring the highest quality of care for our members.
Key Responsibilities- Collaborate with provider quality programs and cross-functional teams to drive quality improvement initiatives.
- Work closely with multidisciplinary teams to execute provider pay for quality programs and align goals with high-quality care objectives.
- Conduct regular face-to-face visits with providers to assess quality performance and provide subject-matter expertise on quality measures, reporting, and data analysis.
- Develop and implement recommendations to achieve quality and productivity improvement goals.
- Provide education and training to internal and external stakeholders on best practices in delivering high-quality care and serve as a liaison for quality support tools.
- Travel up to 60% of the time to support provider offices and quality improvement initiatives.
- Bachelor's degree in a health-related discipline (nursing, dietetics, exercise science, counseling, social work, healthcare administration, public health, or health education) or equivalent work experience.
- 3 years of clinical experience or prior experience in public health, healthcare administration, or community health/outreach.
- 3 years of experience directly related to HEDIS and/or quality improvement, with expertise in data analysis and consultation/education to providers and provider staff.
- Demonstrated presentation and team facilitation skills.
- Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).
- Excellent oral and written communication skills.
- Organized, reliable, and able to manage multiple tasks with exceptional work ethic.
- Knowledge of provider quality strategies, programs, and services.
- A competitive salary and benefits package.
- Opportunities for professional growth and development.
- A dynamic and supportive work environment.
- The chance to make a meaningful impact on the health and well-being of our members.
