Quality Incentive Consultant (Tennessee Based)

Job 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.

Job Qualifications

• Bachelor's 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.