Full-Time

Clinical Quality Improvement Coordinator

Confirmed live in the last 24 hours

Blue Cross Blue Shield

Blue Cross Blue Shield

1,001-5,000 employees

Healthcare

Junior, Mid

Remote in USA

Remote work is allowed from Nebraska and other specified states.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Requirements
  • Bachelor's degree in nursing, health information management, or related health care field
  • Two or more (2+) years experience in health care quality and performance improvement, patient safety, risk management, utilization management, case management or health data analysis in a health care organization or health plan.
  • An equivalent combination of education and experience may be substituted for this requirement.
  • The ability to meet or exceed the attendance and timeliness requirements of their departments.
  • The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.
Responsibilities
  • Develop, implement and monitor health care quality programs in collaboration with internal and external stakeholders including network providers to improve quality of care and services for members, improve population health and reduce the cost of care.
  • Design, develop, monitor, document and report on clinical quality assessment and improvement activities as required by the Quality Management Program, regulatory and accreditation standards and contract deliverables.
  • Contribute to the Quality Management Program activities, Quality Management Committee, quality strategy and work plan, and related reporting within defined deadlines. Complete special projects as assigned.
  • Investigate, monitor, document and report on quality of care and service issues regarding health care and services rendered within the BCBSNE provider networks.
  • Communicate with internal and external stakeholders at all levels, both verbally and in writing, regarding quality of care, service issues, and quality improvement initiatives.
  • Promote a culture of preventive health and wellness both in and out of BCBSNE through support of wellness program initiatives.
Blue Cross Blue Shield

Blue Cross Blue Shield

View

Company Stage

N/A

Total Funding

N/A

Headquarters

Chicago, Illinois

Founded

1910

Growth & Insights
Headcount

6 month growth

-8%

1 year growth

-8%

2 year growth

-8%
Simplify Jobs

Simplify's Take

What believers are saying

  • Increased demand for telehealth services boosts Blue Cross Blue Shield's virtual care offerings.
  • Emphasis on mental health awareness enhances Blue Cross Blue Shield's coverage plans.
  • Shift towards value-based care models strengthens Blue Cross Blue Shield's market position.

What critics are saying

  • Class action lawsuit over anti-competitive practices threatens financial stability.
  • $2.8 billion antitrust settlement highlights potential legal vulnerabilities.
  • Partnership with Folx Health may face backlash from conservative groups.

What makes Blue Cross Blue Shield unique

  • Blue Cross Blue Shield offers Blue Distinction Centers for specialized surgeries.
  • Partnership with Folx Health expands access to LGBT-affirming care.
  • Collaboration with American Spine Registry enhances data-driven healthcare solutions.

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