Remote Quality Outreach & Care Improvement Consultant

Excellus BCBS; Jamestown (NY); Hybrid; USD 31,000 - 52,000; Full time

Job summary

Excellus BCBS is seeking a Quality Improvement Liaison to work with physician offices, community agencies, hospitals, and members to promote care management and quality programs. The role focuses on outreach, education, and piloting new methods to improve access to preventive health and chronic disease management, while maintaining strong provider relationships and program outcomes.

Level I/II responsibilities include data-driven improvement, collaboration with leadership, and adherence to

Qualifications

• Minimum of three (3) years’ experience in health/human services.
• Associates degree in human services or business-related field; in lieu of degree, four years direct provider and member contact; Bachelor’s degree preferred.
• Experience with project management and MS Office (Word, Excel, PowerPoint).
• Experience with member populations from one or more lines of business (Commercial, SafetyNet, Medicare).
• Experience with giving formal/informal presentations to small/large audiences.
• Proficiency in MS Office programs: Word, Excel, PowerPoint

Responsibilities

• Act as a quality improvement liaison with physician offices, community agencies, hospitals, and members to promote care management and quality programs.
• Educate appropriate use of services through outreach and pilot opportunities.
• Promote programs and services available to Excellus members.
• Coordinate, present, and promote clinical programs to provider offices.
• Lead project teams and act as SME to drive quality health outcomes and programs.
• Maintain documentation according to health plan standards.

Skills

Project management

MS Office

Communication skills

Presentation skills

Self-motivation

Problem solving

Education

Associates degree in human services or business-related field

Bachelor’s degree is preferred

LPN or Medical Assistant preferred

Tools

iFacets

Job description

Excellus BCBS is seeking a Quality Improvement Liaison to work with physician offices, community agencies, hospitals, and members to promote care management and quality programs. The role focuses on outreach, education, and piloting new methods to improve access to preventive health and chronic disease management, while maintaining strong provider relationships and program outcomes.

Level I/II responsibilities include data-driven improvement, collaboration with leadership, and adherence to