Benefits at BlueCross BlueShield of South Carolina

The Provider Quality Improvement Manager oversees coaching and support to healthcare providers to enhance their care systems. They manage quality improvement projects, ensure relationship building with providers, analyze data for performance improvement, and lead communication and outreach strategies. This role also involves training, project planning, and the use of various QI methodologies.

The role involves maintaining a portfolio of technologies, providing guidance and training to junior staff, and performing technical analyses with vendors. Responsibilities include lifecycle management, establishing best practices, and supporting the infrastructure and application environment for healthcare claims processing.

The Provider Relations Consultant will maintain relationships with network providers, resolve issues related to network contracts, and create educational materials. Responsibilities include conducting training, preparing reports, and some travel for workshops or meetings.