Provider Quality Outreach Supervisor

Our Senior Care Division is hiring a Provider Quality Outreach Supervisor! This role will support the Supplemental Data Collection team by overseeing five (5) Tennessee regional coordinators to ensure the team meets goals, monitors progress, trains new staff, and helps solve problems. The team performs medical record reviews to support data collection of the value-based provider groups for improving quality star measures including Medicare Advantage (MA), Dual Eligible Special Needs Plans (DSNP), and Commercial lines of business. The supervisor will secure access pathways to medical records and ensures medical record feedback to provider groups is timely and appropriate. Additionally, the supervisor will assign external attestation audit reviews, analyze data for trends, and interpret findings for provider feedback. The supervisor verifies accurate reporting of productivity and actively assists in driving improvements and resolving issues. The ideal candidate is an RN with HEDIS experience who thinks creatively, multi-tasks well, and excels in communication. This remote position is Monday – Friday, 8:00 a.m. to 5:00 p.m. EST, and involves 10% travel throughout Tennessee. If this opportunity interests you, we encourage you to apply! Job Responsibilities Deep understanding of the line of business quality program. Assisting with the implementation and execution of strategy related to the provider engagement and provider quality program. Contributes to the development and execution of multiple provider education and engagement campaigns. Analyzing and interpreting provider data to help make meaningful improvements in provider quality ratings. Tailor outreach programs to provider resources, capabilities, and performance. Must be able to travel approximately 60% of the time Various immunizations and/or associated medical tests may be required for this position. Job Qualifications Education Bachelors degree or equivalent work experience required; OR, Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law. Experience 2 years - Supervisory experience required 5 years - Experience in the healthcare industry required 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, Access 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 Number of Openings Available: 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. 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. About Us As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. 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. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the applicant moves to Chattanooga, TN, they may be eligible for relocation benefits.