Applying for this job indicates your acknowledgement and understanding of the following statements:
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
Benefits
Health insuranceRemote work options
Additional Information
Our Senior Care team at BCBST is looking to hire a Quality Incentive Consultant !
The Quality Incentive Consultant plays 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.
We're looking for professionals with experience in quality improvement and strong working knowledge of Medicare, HEDIS, and CMS Stars. 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.
Additional Notes
Candidates living in the Chattanooga area are preferred.
Sponsorship is not available for this position.
This is a fully remote role, but may require up to 60% travel in TN.
At BCBST, we foster a culture where innovation is encouraged, including the responsible use of AI-enabled tools to support everyday work. As roles become more advanced, employees are expected to leverage AI, guided by established workflows, templates, and policies, to improve how we serve our members.
Job 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.
Job Qualifications
Education
Bachelors Degree in a Health Related Discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education)
Bcbst · TN, Chattanooga, Remote