Quality Incentive Consultant

BlueCross BlueShield of Tennessee

Quality Incentive Consultant working with providers to enhance quality ratings and patient satisfaction in healthcare. Focused on quality improvement initiatives and data analysis in a remote capacity with travel.

Posted 5/20/2026full-timeRemote • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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.

Benefits

Comp & perks

Various immunizations and/or associated medical tests may be required for this position.

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

quality initiativesHEDISMedicareCMS Starsanalytical skillstechnical skillsdigital skillsExcelMicrosoft applications

Soft Skills

attention to detailpresentation skillsinfluencing without authoritycreativityadaptability