Member Experience Program Consultant

Job description

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.