Provider Quality & Integrated Care Lead

BlueCross BlueShield of Tennessee, Inc.; Chattanooga (TN); On-site; USD 85,000 - 120,000; Full time

Benefits offered by this job

Remote-first organization

Job summary

BlueCross BlueShield of Tennessee, Inc. seeks a Provider Quality Consultant to support TennCare's Health Starts initiative.

You will liaison with provider groups, drive collaboration across providers, MCO partners, and TennCare stakeholders, lead program implementation, and monitor performance to ensure outcomes. You will work with teams to design workflows, manage contracts, and facilitate governance meetings, traveling up to 20% as needed.

Qualifications

• Experience building provider relationships and leading quality improvement initiatives.
• Ability to manage complex programs or projects with multiple stakeholders.
• Familiarity with provider-facing technologies (EHRs, data exchange) is a plus.

Responsibilities

• Interface with provider quality programs and cross-functional teams to drive quality performance.
• Collaborate with multi-disciplinary teams to implement provider pay-for-quality programs.
• Conduct provider visits and advise on performance measures, reporting, and data.

Skills

Provider relationships

Quality improvement

Project management

Stakeholder collaboration

Education

Advanced degree in healthcare management/public health/business

Tools

EHRs

CDX platforms

Job description

BlueCross BlueShield of Tennessee, Inc. seeks a Provider Quality Consultant to support TennCare's Health Starts initiative.

You will liaison with provider groups, drive collaboration across providers, MCO partners, and TennCare stakeholders, lead program implementation, and monitor performance to ensure outcomes. You will work with teams to design workflows, manage contracts, and facilitate governance meetings, traveling up to 20% as needed.