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Bringing peace of mind through better health to our customers and communities
Clinical Consultant
Location
Tennessee
Posted
126 days ago
Salary
0
Seniority
Senior
Job Description
Clinical Consultant
BlueCross BlueShield of Tennessee
• Assess effectiveness of and create and/or disband/combine clinically focused workgroups • Manage clinical quality improvement studies, activities and projects • Participate in the development and implementation of new clinical projects to support continuous quality improvement • Conduct evidence-based literature research to guide and support clinical quality improvement studies and activities
Job Requirements
- RN license or Bachelor’s in Nursing or relevant health-focused academic backgrounds
- Project management experience
- Strong data analysis abilities
- Confidence in public speaking
- Experience applying quality improvement principles
- Proficiency with HEDIS and CAHPS (strongly preferred)
- 3+ years of quality improvement or CMS Stars experience
- Excitement around (and experience leveraging) approved AI tools to support efficiencies in this work
Benefits
- Opportunity to design and implement full life cycle projects that directly impact provider performance and plan quality outcomes
- Extensive collaboration with internal and external partners
- Meaningful exposure across all BCBST lines of business
- Ability to translate data into insights that guide operational and clinical decision making
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