Quality & Risk Adjustment Provider Consultant

The Quality & Risk Adjustment Provider Consultant at Blue Cross and Blue Shield of Minnesota supports providers with value-based agreements by reviewing provider-specific data to identify opportunities for improving Quality (HEDIS/Stars) and Coding Accuracy/Risk Adjustment performance. The role involves leading face-to-face meetings with provider care system leaders and developing provider-specific action plans to drive performance improvements. As an in-house subject matter expert, the consultant consults on best practices and develops materials to help providers enhance their performance across quality and coding accuracy measures.