BCBSMS

BCBSMS

Network Hospital Quality Coordinator

Flowood, MS

Sponsorship not specifiedDetected 30 days ago
Financial AnalysisAccountingAuditingHRISICD-10Patient CareResearchCommunicationMicrosoft OfficeFinancial ReportingInternal Audit

About the role

  • Blue Cross & Blue Shield of Mississippi is an Equal opportunity Employer.
  • All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Responsibilities

  • Develop, implement and monitor quality improvement projects based on evidence-based practices in alignment with the Comprehensive Quality Model (CQM) and other value-based initiatives.
  • Conducts audit projects and develops corrective action plans for identified gaps.
  • Present actionable data to improve performance, build trust and enhance public brand.
  • Ability to analyze complex data sets to define and develop performance metrics.
  • Proven ability to lead projects from conception to completion.
  • Ability to manage and maintain confidentiality of information.
  • Strong verbal communication skills to facilitate multidisciplinary meetings and drive continuous improvement and improve patient care while maintaining the capacity to build consensus effectively.
  • Build foundational knowledge in finance and investment accounting.

Requirements

  • Bachelor's degree in a business-related field, or clinical designation, such as R.N.
  • Proficiency using Microsoft Word and Excel.
  • Work with a high degree of accuracy.
  • Experience with Microsoft Access and Visio.
  • Knowledge of accreditation programs such as The Joint Commission, Det Norske Veritas (DNV) and National Committee for Quality Assurance (NCQA).
  • Knowledge of value-based programs such as Bundled Payments for Care Improvement (BPCI) and Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).

Nice to have

  • Preferred include:

Compensation

  • Compensation & Benefits: We offer a highly competitive compensation package that includes medical benefits, 401(k), ample paid time off and a schedule that supports true work/life balance

Benefits

  • We offer a highly competitive compensation package that includes medical benefits, 401(k), ample paid time off and a schedule that supports true work/life balance
  • We offer a comprehensive benefits package that is worth approximately one-third of the salary compensation.
  • Our benefits program is among the best in the health care field.
  • Purpose-Driven Work: Make a meaningful impact on the Health & Wellness of our Members.
  • Learning & Development: Build foundational knowledge in finance and investment accounting.
  • Healthy Culture: Work in an environment with a focus on your health which allows you to thrive.
  • Be part of a vision for a healthier Mississippi as a Network Hospital Quality Coordinator.
  • At Blue Cross & Blue Shield of Mississippi, we're not just about providing health insurance, we are creating a strong, supportive community which encourages every Mississippian to live their healthiest life.
  • The walking track, onsite gym and café are just a few of the highlights of the campus.

Company info

  • Work in an environment with a focus on your health which allows you to thrive.
  • We are looking for employees who can bring their experience, expertise and dedication to work for our customers.

Equal opportunity

  • Equal opportunity Employer.

This listing is sourced directly from BCBSMS's careers page and normalized into a canonical job model.