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BlueCross BlueShield of Tennessee

Clinical Quality Research Analyst

BlueCross BlueShield of Tennessee

Clinical Quality Research Analyst supporting healthcare quality improvement at BCBST. Analyzing complex data, conducting audits, and driving operational performance improvements.

Posted 7/7/2026full-timeRemote • Tennessee • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in quality and compliance audits, with a strong focus on regulatory requirements and process improvement. Proficient in analyzing trends and providing education on compliance measures within managed care settings.

Highest-signal resume keywords
Current RN LicenseManaged Care ExperienceRegulatory Requirements ExperienceCertification in Healthcare QualityProficient in Microsoft Office

ATS Keywords

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Applicant Tracking System Keywords

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

Hard Skills
Quality AuditsCompliance AuditsProcess ImprovementTrend AnalysisNon-Compliance Identification
Tools & Technologies
Microsoft Office
Certifications & Qualifications
Professional in Healthcare Quality CertificationLean Six Sigma Certification
Industry Keywords
URACNCQAEQROCMS

About the role

Key responsibilities & impact
  • Perform quality and/or compliance audits
  • Coordinate Process Improvement based upon audit results
  • Provide education and guidance on development of measures
  • Consult for quality and compliance audits
  • Analyze results for trends and identify non-compliance areas

Requirements

What you’ll need
  • Current RN license
  • 4 years of managed care experience
  • Experience with regulatory or accrediting body requirements (i.e., URAC, NCQA, EQRO, CMS)
  • Certification as a Professional in Healthcare Quality, Lean Six Sigma Certification, or equivalent certification required
  • Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint)

Benefits

Comp & perks
  • Remote work opportunities
  • Professional development
  • Collaborative team environment
  • Flexible work arrangements