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BlueCross BlueShield of Tennessee logo
BlueCross BlueShield of Tennessee

Bringing peace of mind through better health to our customers and communities

Clinical Consultant

ConsultantConsultantOtherRemoteSeniorTeam 5,001-10,000Since 1952H1B SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

126 days ago

Salary

0

Seniority

Senior

Bachelor Degree3 yrs expEnglish

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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