Quality Incentive Consultant

Join us as a Quality Incentive Consultant and play a key role in shaping programs that directly elevate provider performance, improve quality ratings, and enhance patient satisfaction. In this impactful, relationship‑driven role, you’ll collaborate closely with providers to solve problems, analyze trends, and translate data into meaningful improvements.

We’re looking for professionals with experience in quality improvement and a strong working knowledge of Medicare, HEDIS, and CMS Stars. Ideal candidates who have exceptional communication skills, a personable and collaborative approach, and the ability to analyze data to guide strategy and quality performance.

If you enjoy using your Excel and analytical expertise to tell a story, influence behavior, and drive measurable change—and you’re energized by provider education and continuous improvement—you’ll thrive here.

This is an opportunity to influence real outcomes, support provider success, and grow your career in a mission‑focused environment committed to improving the healthcare experience. This role is fully remote but may require up to 60% travel. Candidates living in the Knoxville or Tri‑Cities area are preferred.

Job Responsibilities

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

Job Qualifications

Education

• Bachelors Degree in a Health Related Discipline (Nursing, Dietetics, Exercise Science, Counseling, Social work, or Health Education)

Experience

• 4 years - Quality improvement experience required
• 2 years - Experience in the healthcare industry required
• 1 year - Comprehensive knowledge base crossing all areas within Medicare, HEDIS and CMS Stars program

Skills\Certifications

• Demonstrated ability to effectively work with senior leadership teams
• Ability to speak in public and conduct effective presentations.
• Proficient in Microsoft Office (Outlook, Word, Excel and Powerpoint)
• Capacity to solve problems and manage multiple assignments with critical deadlines
• Excellent oral and written communication skills
• Strong analytical skills
• Demonstrated consumer healthcare market understanding/knowledge required

This role is fully remote but may require up to 60% travel. Candidates living in the Knoxville or Tri‑Cities area are preferred.

Number of Openings Available

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Applying 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.