BlueCross BlueShield of Tennessee

Consultant

• Build relationships with provider offices to coordinate and execute wellness events
• Engage multiple partners (providers, vendors, Member Outreach, Transportation)
• Drive gap‑closure success through event planning, member attendance efforts, and follow‑up reporting
• Monitoring health education programs trending and analysis of findings and making improvements.
• Implementing outreach programs to members and providers to facilitate an increase in the number of preventative health services.
• Supports the planning and execution of community outreach initiatives which focus on improving the Stars quality scores, improving the overall member experience and improving member health outcomes.
• Ensuring quality and performance standards as defined by CMS, BCBSA, BCBST and all accrediting bodies.
• Travel about 50% of the time across Tennessee (with flexibility to choose regions)

Member Experience Program Consultant

Financial Planning and Analysis

• Working with internal staff and external customers and suppliers to clarify differences and reconcile conflicts
• Reviews quality errors and provides feedback; performs supplemental audits as needed
• Serving as project lead for process improvement initiatives
• Paying bills and invoices in accordance with established methods and procedures
• Making deposits for incoming receipts

Member Experience Program Consultant

Financial Transactions Analyst