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Provider Quality Consultant at BlueCross BlueShield of Tennessee - ApplyBlast

Provider Quality Consultant

BlueCross BlueShield of Tennessee

2 months ago

3.7 on Glassdoor

Chattanooga, Tennessee, United States

Onsite

Full Time

Medior

0 applicants

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About this role

The Provider Quality Consultant will act as the primary liaison between participating provider groups, MCO partners, and TennCare stakeholders to implement and improve the Health Starts initiative. The role involves leading program implementation, workflow design, contract development, governance facilitation, and performance monitoring to advance integrated healthcare models for vulnerable populations.

Responsibilities

Serve as primary liaison between provider groups and TennCare stakeholders
Lead program implementation and workflow design for Health Starts initiative
Monitor program performance and drive quality improvement actions

Skills

Qualifications

Bachelor's Degree in Health-Related DisciplineNCQA PCMH Content Expert Certification (CCE)

About BlueCross BlueShield of Tennessee

bcbst.com

Headquarters

Chattanooga, Tennessee, United States

Company Size

5001-10000 employees

Founded

1945

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Learn more about BlueCross BlueShield of Tennessee (BCBST) health insurance and the medical, dental and vision plans we offer for employers, individuals and families.