Teams at Blue Cross & Blue Shield of Mississippi

The Plan Performance and Quality Reviewer evaluates internal controls ensuring quality outcomes in claims processing and customer service, identifies performance opportunities, and coordinates audits.

Develop and enhance on‑site web applications to integrate BCBSMS business systems, prevent technical disruptions, and perform systems and business function analysis. Build/consume REST services, use source control, and follow full development lifecycle processes.

Develops and manages maternal and women's health quality programs, partners with providers and hospitals, analyzes clinical data, documents best-practice guidelines and technical measure specifications, presents performance data to providers, and aligns initiatives with value-based reimbursement models to improve patient outcomes.