Collaborate closely with providers to solve problems, analyze trends, and translate data into meaningful improvements
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
Serve and educate 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

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

Quality Incentive Consultant

Key skills