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BlueCross BlueShield of TennesseeBT

Provider Data Consultant

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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We are hiring aProvider Data Consultantat BlueCross BlueShield of Tennessee! In this role, you’ll serve as a key partner within our Provider Network organization to support the technical solutions that power how we manage and maintain our network of physicians and hospitals. You’ll work closely with business and IT teams to design, enhance, and support reporting, data integrations, and tools that driveprovidercredentialing, contracting,enrollmentand dataquality.

This role goes beyond traditionaltechnology - you’ll help drive automation and apply AI-enabled solutions to improve efficiency and data quality. You’ll buildagents, solutions,queries, and optimize data workflows while identifying opportunities to streamline manual processes and improve data quality. We’re seeking a data focused consultant and hands-onsolution builder who can bring both technical expertise and creative problem-solving to deliver scalable solutions.

To be successful in this role, in addition to the job requirements, you’ll bring:

  • Strong SQL with Python or Java to support ETL/ELT data workflows
  • Experience developing reports and dashboards (Power BI, Tableau)
  • Experience building and improving automated processes, including applying AI-enabled capabilities.
  • Experience working withFHIR andAPIs and integration tools to support end-to-end data workflows

Important Notes:

  • This is aremote position, but thefinal round of interviews will take place on‑site in our Chattanooga, TN office.
  • Sponsorship isnot available for this role.

Job Responsibilities

  • Providing support for the implementation and usage of new or existing analytics applications.
  • Leading the development, testing and implementation of new functions, features and capabilities of analytics applications.
  • Evaluating and scoping user requests for feasibility, costs and time requirements to align with business value and the overall data strategy.
  • Customizing and configuring analytics applications and platforms and optimizing the ETL/ELT process.
  • Responsible for data management, integrations, reporting and quality solutions.
  • May require supervising and administrating staff.

Required Job Qualifications:

Education

  • Bachelor’s degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience.

Experience

  • 5 years - Experience working on data management, modeling, and integration required.
  • 5 years - Experience with advance reporting tools required.
  • 3 years - IT lifecycle experience required.
  • 3 years - Proven leadership and/or project management experience required.

Skills/Certifications

  • Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
  • Excellent oral and written communication skills.
  • Strong interpersonal and organizational skills
  • Must be a team player, be organized and have the ability to handle multiple projects
  • Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles, and accountability
  • Detail oriented with strong analytic skills
  • Ability to prioritize in an environment of rapid change
  • Able to direct project outcome based on long term business objectives

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

5 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.

Tech stack

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