Member Experience Program Consultant

Posted 96ds ago

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Job Description

Member Experience Program Consultant improving HEDIS preventative screening performance for BlueCare Plus DSNP members. Engaging providers and coordinating wellness events in Tennessee with travel required.

Responsibilities:

  • Build relationships with provider offices to coordinate and execute wellness events
  • Engage multiple partners (providers, vendors, Member Outreach, Transportation)
  • Drive gap‑closure success through event planning, member attendance efforts, and follow‑up reporting
  • Monitoring health education programs trending and analysis of findings and making improvements.
  • Implementing outreach programs to members and providers to facilitate an increase in the number of preventative health services.
  • Supports the planning and execution of community outreach initiatives which focus on improving the Stars quality scores, improving the overall member experience and improving member health outcomes.
  • Ensuring quality and performance standards as defined by CMS, BCBSA, BCBST and all accrediting bodies.
  • Travel about 50% of the time across Tennessee (with flexibility to choose regions)

Requirements:

  • Bachelors degree or equivalent work experience in Business, Public Relations, Marketing/ Advertising, or related field
  • 2 years - Experience in the healthcare industry required
  • 1 year - Marketing and/or communications experience required
  • 1 year - Project management, account management or similar experience required
  • 1 year - Experience in a member/customer-focused position is required.
  • Demonstrated ability to effectively work with senior leadership teams
  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Accuracy and attention to detail
  • Capacity to solve problems and manage multiple assignments with critical deadlines
  • Excellent oral and written communication skills
  • Strong interpersonal and organizational skills
  • Strong analytical skills

Benefits:

  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements