Women’s Health Quality Strategist — Value-Based Care

Blue Cross & Blue Shield of Mississippi; Flowood (MS); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Paid time off

On-site gym and café

Job summary

Blue Cross & Blue Shield of Mississippi is seeking a Provider Clinical Quality Specialist to enhance quality programs related to Women’s Health and Maternal Care. This role involves analyzing clinical guidelines and collaborating with network providers to achieve best practices.

Candidates should hold a Bachelor’s degree in nursing and possess significant clinical experience. The position offers competitive compensation and ample benefits, including a supportive work environment focused on employee wellness.

Qualifications

• Bachelor’s degree in nursing and an unrestricted R.N. licensure in Mississippi.
• Three years’ clinical experience as a nurse or nurse practitioner.
• Ability to work a flexible schedule and undertake limited or frequent travel.

Responsibilities

• Research, analyze, and document clinical best-practice guidelines.
• Present actionable data to network providers.
• Maintain knowledge of provider quality initiatives and reimbursement models.

Skills

Clinical best-practice guidelines

Professional presentation skills

Data interpretation

Microsoft Office proficiency

Education

Bachelor's degree in nursing

Tools

Microsoft Access

Microsoft Visio

Job description

Blue Cross & Blue Shield of Mississippi is seeking a Provider Clinical Quality Specialist to enhance quality programs related to Women’s Health and Maternal Care. This role involves analyzing clinical guidelines and collaborating with network providers to achieve best practices.

Candidates should hold a Bachelor’s degree in nursing and possess significant clinical experience. The position offers competitive compensation and ample benefits, including a supportive work environment focused on employee wellness.