Member Experience Program Consultant

Join our collaborative Stars team dedicated to improving HEDIS preventative screening performance for our BlueCare Plus DSNP members. This role blends provider engagement, event coordination, and meaningful impact on the member population. What You’ll Be Part Of

• A team focused on Stars improvement for the BlueCare Plus (DSNP) line of business
• Direct impact on HEDIS preventative screening measures

What You’ll Do

• 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
• Travel about 50% of the time across Tennessee (with flexibility to choose regions)

Training & Ramp-Up

• Primarily on‑the‑job training
• First two weeks focused on core duties, DSNP population needs, and Stars processes

Preferred Skills & Attributes

• Works independently and is highly self‑motivated
• Strong understanding of relevant HEDIS Stars measures
• Experience with the BlueCare Plus DSNP population (highly preferred)

Job Responsibilities

• 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 is required throughout TN for member or provider events ~ 50+%

Job Qualifications Education

• Bachelors degree or equivalent work experience in Business, Public Relations, Marketing/ Advertising, or related field

Experience

• 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.

SkillsCertifications

• 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

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. Apply tot his job Apply To this Job