Quality Incentive Consultant- West TN

BlueCross BlueShield of Tennessee • Memphis, TN

3d • Remote

About The Position

We are seeking a dedicated, experienced professional in quality improvement to join the team at BlueCross BlueShield of Tennessee. Join us as a Quality Incentive Consultant and play a key role in shaping programs that directly elevate provider performance, improve quality ratings, and enhance patient satisfaction. In this impactful, relationship‑driven role, you’ll collaborate closely with providers to solve problems, analyze trends, and translate data into meaningful improvements. If you enjoy using your analytical skills and Excel expertise to tell a story and drive change and you’re energized by clear communication, provider education, and continuous improvement, you’ll thrive here. This is an opportunity to influence real outcomes, support provider success, and grow your career in a mission‑focused environment committed to improving the healthcare experience.

Requirements

• Bachelors Degree in a Health Related Discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education)
• 4 years - Quality improvement experience required
• 2 years - Experience in the healthcare industry required
• 1 year - Comprehensive knowledge base crossing all areas within Medicare, HEDIS and CMS Stars program
• Demonstrated ability to effectively work with senior leadership teams
• Ability to speak in public and conduct effective presentations.
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Capacity to solve problems and manage multiple assignments with critical deadlines
• Excellent oral and written communication skills
• Strong analytical skills
• Demonstrated consumer healthcare market understanding/knowledge required
• Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis will be automatically enrolled into the BCBST Driver Safety Program.
• The employee will also be required to adhere to the guidelines set forth through the program.
• This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR).
• The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.

Nice To Haves

• Experience leading quality initiatives from planning through execution
• Ability to manage multiple priorities with strong attention to detail
• Comfortable presenting to varied audiences and influencing without authority
• Quality background and/or HEDIS, Medicare, CMS Stars experience preferred
• Strong analytical, technical, and digital skills
• Creative and adaptable; eager to responsibly leverage enterprise‑approved AI and technology to improve care and efficiency
• Strong familiarity with Excel and other major Microsoft applications

Responsibilities

• Work with contracted providers to resolve data issues related to line of business quality programs.
• Update and educate contracted providers and their staff of changes and updates to the clinical quality programs.
• Serves and educates contracted providers on measures in the line of business quality program, preferred quality reporting, quality measure clinical documentation and BCBST Quality programs policies, procedures, and technologies.
• Work with Supervisor to update policies and procedures as needed to improve operations of the line of business quality program.
• Travel required approximately 60% of the time
• Various immunizations and/or associated medical tests may be required for this position.

Benefits

• BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level