- This is a remote, work-from-home position.
- Sponsorship is not available for this role.
Job Responsibilities
- Coordinate and provide information to support quality improvement studies, initiatives and accreditation reviews.
- Ensure that all projects and departmental activities meet applicable regulatory and/or accrediting requirements.
- Coordinates multidisciplinary workgroups and committees that address and monitor quality activities and identifies noncompliance with standards.
- Coordinating and/or developing the annual documents (work plan, program description, program evaluation).
Job Qualifications
Education
- Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a corporate environment
Experience
- 5 years - Managed care experience, or experience with regulatory or accrediting body requirements (i.e., URAC, NCQA, EQRO, and CMS) and Quality Improvement experience required
Skills\Certifications
- Demonstrated presentation and team facilitation skills
- Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
- Excellent oral and written communication skills
- Ability to manage multiple projects and priorities
Number of Openings Available
1Worker Type:
EmployeeCompany:
VSHP Volunteer State Health Plan, IncApplying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Skills Required
- Bachelor’s degree or equivalent work experience; equivalent experience is defined as four years of professional corporate work experience.
- Five years of managed care experience or experience with regulatory or accrediting body requirements, including URAC, NCQA, EQRO, and CMS.
- Quality improvement experience.
- Demonstrated presentation and team facilitation skills.
- Proficiency in Microsoft Office, including Outlook, Word, Excel, and PowerPoint.
- Excellent oral and written communication skills.
- Ability to manage multiple projects and priorities.
What We Do
As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. Our mission is simple: peace of mind through better health. We're an independent, not-for-profit, locally governed health plan company – meaning we live and work alongside our Tennessee business customers and plan members. Our 6,000 employees across the state have built our strong reputation for integrity, excellent service and community leadership. But we are also part of the BlueCross BlueShield Association, a nationwide association of health care plans. Because of this, our plan members have access to the same quality health benefits while traveling or living out of state that they have while in Tennessee. © 2018 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.
