Performance Improvement Consultant Q

The BlueCare team is looking for a Performance Improvement Consultant to drive impactful change through creativity, innovation, and analytical thinking. This role involves crafting member and provider communications and developing content from inception to execution that will be used for population health outreach initiatives. You’ll collaborate with Brand Voice, help oversee our digital tools and work with our Quality areas on NCQA and EQRO, ensuring high-quality content so that we make a real difference.

You’ll be an ideal match for this role if you have:

• BlueCare experience, strong research skills, and the ability to analyze data for effective content creation.
• Attention to detail, collaboration, and project management are essential, along with excellent written and verbal communication.

Reporting experience using Cognos/SharePoint/SQL or Excel is preferred but not mandatory.

Job Responsibilities

• Direct and recommend actions designed to achieve quality and productivity improvement goals; implement quality improvement processes and infrastructures including related deliverables for the program (Program Description, Annual Quality Work Plan, Annual Program Evaluation and Performance Improvement Projects (PIPs)).
• Manages the day-to-day operational scope and various aspects of projects by analyzing current processes for efficiency and effectiveness.
• Develop, examine and analyze program reports to ensure accuracy and compliance.  Coordinate delivery of data and information within the company for use in document review.
• Identifies, analyzes and tracks all quality measures outliers and collaborates with Team to ensure an appropriate action plan is implemented to achieve improved performance.

Job Qualifications

Education

• Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment

Experience

• 2 years - Project management, account management or similar experience required
• 4 years - Experience in the healthcare industry required

Skills\Certifications

• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Excellent oral and written communication skills
• Effective and concise presentation skills
• Strong analytical, planning, organizational and research skills
• Superior interpersonal, client relations and problem-solving skills
• Positive attitude, self-driven, engaging, proactive, results drive

Number of Openings Available:

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To further our mission of peace of mind through better health, effective 2017, BlueCross BlueShield of Tennessee and its subsidiaries no longer hire individuals who use tobacco or nicotine products (including but not limited to cigarettes, cigars, pipe tobacco, snuff, chewing tobacco, gum, patch, lozenges and electronic or smokeless cigarettes) in any form in Tennessee and where state law permits. A tobacco or nicotine free hiring practice is part of an effort to combat serious diseases, as well as to promote health and wellness for our employees and our community. All offers of employment will be contingent upon passing a background check which includes an illegal drug and tobacco/nicotine test.  An individual whose post offer screening result is positive for illegal drugs or tobacco/nicotine  and/or whose background check is verified to be unsatisfactory, will be disqualified from employment, the job offer will be withdrawn, and they may be disqualified from applying for employment for six (6) months from the date of the post offer screening results.

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