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BlueCross BlueShield of TennesseeBT

PMO Quality and Governance Coordinator

BlueCross BlueShield of Tennessee is a taxpaying, not-for-profit health plan serving over 3.4 million members in Tennessee and around the country. Founded in 1945, they are dedicated to providing quality, affordable care and promoting better health in the communities they serve.

BlueCross BlueShield of Tennessee

Employee count: 5000+

United States only

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If you love working in a collaborative environment, turning process into progress, this role puts you at the center of how we keep our Project Management Office operating with consistency, integrity, and measurable quality. As the PMO Quality and Governance Coordinator (G-9), you’ll monitor quality and compliance standards, analyze and report performance trends, and strengthen processes through clear documentation, testing, and training. We’re looking for someone who is organized, detail-driven, and comfortable working independently—someone who is accurate, can translate data into actionable insights, and can communicate findings to management. You must be confident using modern tools and have strong Microsoft platform skills, especially Excel, PowerPoint, and SharePoint. Experience with Visio, ADO, MS Copilot, and MS Power Platform is a plus. Our PMO is entering an exciting period of modernization - you’ll have the opportunity to identify high-value improvements that accelerate automation, strengthen reporting, and reduce manual effort.

Our PMO, comprised of over 30 dedicated professionals, actively fosters a positive and supportive atmosphere. We are committed to professional growth through role-based learning initiatives and a PMO-sponsored mentoring program.

Notes:

  • We welcome candidates from any time zone, as long as you’re able to align your schedule with Eastern Time (EST) working hours.
  • Sponsorship is not available for this role
  • While we are a remote‑first organization, this role will require an on‑site confirmation interview.

Job Responsibilities

  • Monitor PMO processes, procedures, and outputs for compliance with quality and governance standards, escalating deviations or concerns as identified.
  • Collect, analyze, and report data related to quality and compliance performance.
  • Support the design, refinement, and implementation of quality assurance protocols and governance frameworks through documentation and testing activities.
  • Identify process gaps, inconsistencies, or risks and support corrective actions.
  • Assist with internal and external audit preparation and follow-up activities.
  • Provide back-up support to CPOC Coordinator, as needed, to ensure continuity of governance and compliance activities.
  • Identify opportunities to apply automation or AI-assisted analysis to support monitoring and reporting, consistent with established governance standards.
  • Collaborate with governance, PMO, or technology partners to help define AI use cases or requirements.
  • Utilize AI-assisted analytics or monitoring tools, when established, to identify trends, anomalies, or exceptions in quality and compliance data.

Job Qualifications

Education

  • Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience in a Healthcare and/or Information Technology (IT) environment

Experience

  • Experience in business analysis, project management, or quality control within EIT at BCBST is preferred. Experience in similar functions within a healthcare or IT environment is a plus.
  • Intermediate to advanced proficiency with Microsoft platforms, including SharePoint, Visio, and Excel (PivotTables and formulas). Familiarity with Azure DevOps (ADO), Microsoft Copilot AI Agents, the Power Platform, and/or project management tools is a plus.
  • Experience documenting and refining processes, as well as delivering training to support consistent adoption and continuous improvement is preferred.

Skills \ Certifications

  • Strong written and verbal skills to summarize deficiencies, document processes, and engage with stakeholders.
  • Strong interpersonal and organizational skills, with experience working in cross-functional teams to achieve shared goals.
  • Ability to follow minimal instructions and work independently is required.
  • High degree of accuracy in monitoring compliance and identifying work output discrepancies.
  • Use root cause analysis to diagnose the issue and recommend potential solutions.

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.

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Education

Bachelor degree

Experience

4 years minimum

Experience accepted in place of education

Location requirements

Hiring timezones

United States +/- 0 hours

About BlueCross BlueShield of Tennessee

Learn more about BlueCross BlueShield of Tennessee and their company culture.

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We are BlueCross BlueShield of Tennessee, a taxpaying, not-for-profit health plan deeply committed to serving our friends, family, and neighbors across Tennessee and beyond. For over 75 years, since our founding in 1945 by Roy McDonald, we've been dedicated to providing peace of mind through better health. Our mission is at the heart of everything we do, guiding our efforts to ensure our more than 3.4 million members have access to quality, affordable care. Living in the communities we serve means those we cover are more than just members; they are an integral part of our lives. This understanding fuels our passion to partner with the best healthcare providers and to continuously innovate in how we deliver care and service.

We're proud of our Tennessee roots and our role as the state's largest health plan. Our workforce of over 6,500 dedicated professionals across the state embodies our mission daily. We strive to create a workforce that intentionally reflects the diverse people we serve, fostering an engaged and culturally competent environment where employees feel valued and understand how their work contributes to our collective goal of better health for our members. This commitment extends to our communities through initiatives like the BlueCross Healthy Places program, which builds free, accessible public spaces for healthy activity and connection, and the Power of We Scholarship, supporting students in healthcare-related fields to improve health equity. We are more than just an insurance provider; we are a partner in health, working tirelessly to make a positive impact on the lives of Tennesseans and the communities we call home.

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