Remote-Eligible Quality Improvement Consultant

Excellus BCBS; Town of De Witt (NY); Hybrid; USD 31,000 - 48,000; Full time

Job summary

Excellus BCBS in Upstate New York seeks a Quality Improvement Liaison to engage physicians, clinics, and community partners to promote care management and quality programs. You will educate members and providers, address barriers, and support access to preventive and chronic care services.

You will lead project teams, analyze data, and pilot new methods to improve health outcomes, while maintaining compliance and safeguarding member privacy. Travel across the service region may be required.

Qualifications

• Three years’ experience in health/human services.
• Associates degree in human services or business-related field; Bachelor’s preferred.
• MS Office proficiency.
• Experience with provider populations from one or more lines of business.
• Experience with presenting to audiences.
• Knowledge of preventive health activities and community agencies.

Responsibilities

• Identify members with gaps in care and align with quality measures.
• Assess member needs using approved guidelines and refer to clinical programs.
• Educate members by phone and written communications about quality metrics and access to care.
• Build relationships with providers and community agencies, advocating for members.
• Collaborate with Hospital Executives and physician leadership to align quality goals.
• Coordinate and promote clinical programs with Strategic Partners and Provider Relations.
• Pilot new methods to promote quality health outcomes.
• Maintain documentation per health plan standards.

Skills

Communication

Project management

Problem solving

Independent work

Public speaking

Education

Associates degree in human services or business-related field

Bachelor’s degree preferred

LPN or Medical Assistant preferred

Tools

MS Office

iFacets

Job description

Excellus BCBS in Upstate New York seeks a Quality Improvement Liaison to engage physicians, clinics, and community partners to promote care management and quality programs. You will educate members and providers, address barriers, and support access to preventive and chronic care services.

You will lead project teams, analyze data, and pilot new methods to improve health outcomes, while maintaining compliance and safeguarding member privacy. Travel across the service region may be required.