Member Experience Program Consultant

BlueCross BlueShield of TennesseeChattanooga, TN
1d

About The Position

Join our collaborative Stars team dedicated to improving HEDIS preventative screening performance for our BlueCare Plus DSNP members. This role blends provider engagement, event coordination, and meaningful impact on the member population. What You’ll Be Part Of A team focused on Stars improvement for the BlueCare Plus (DSNP) line of business Direct impact on HEDIS preventative screening measures What You’ll Do Build relationships with provider offices to coordinate and execute wellness events Engage multiple partners (providers, vendors, Member Outreach, Transportation) Drive gap‑closure success through event planning, member attendance efforts, and follow‑up reporting Travel about 50% of the time across Tennessee (with flexibility to choose regions) Training & Ramp-Up Primarily on‑the-job training First two weeks focused on core duties, DSNP population needs, and Stars processes

Requirements

  • Bachelors degree or equivalent work experience in Business, Public Relations, Marketing/ Advertising, or related field
  • 2 years - Experience in the healthcare industry required
  • 1 year - Marketing and/or communications experience required
  • 1 year - Project management, account management or similar experience required
  • 1 year - Experience in a member/customer-focused position is required.
  • Demonstrated ability to effectively work with senior leadership teams
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Accuracy and attention to detail
  • Capacity to solve problems and manage multiple assignments with critical deadlines
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Strong analytical skills

Nice To Haves

  • Works independently and is highly self‑motivated
  • Strong understanding of relevant HEDIS Stars measures
  • Experience with the BlueCare Plus DSNP population (highly preferred)

Responsibilities

  • Monitoring health education programs trending and analysis of findings and making improvements.
  • Implementing outreach programs to members and providers to facilitate an increase in the number of preventative health services.
  • Supports the planning and execution of community outreach initiatives which focus on improving the Stars quality scores, improving the overall member experience and improving member health outcomes.
  • Ensuring quality and performance standards as defined by CMS, BCBSA, BCBST and all accrediting bodies.
  • Travel is required throughout TN for member or provider events ~ 50+%

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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