Chattanooga, Tennessee, United States · Remote OK
We are hiring a Clinical Quality Research Analyst at BCBST! In this role, you will support healthcare quality improvement efforts by analyzing complex data, conducting accreditation and regulatory audits, and identifying…
Skills: Data Analysis, Compliance Auditing, Process Improvement, Regulatory Standards, Stakeholder Education
Jefferson County, Tennessee, United States · On-site
$17/hr–$19/hr
Property Manager Office-Based Office Location Regular Full-Time Monday-Friday, 8:30 am - 5 pm (occasional Saturdays may be required; closed on Sundays) Overview and Essential Functions: Overview: As a Property Manager, y…
Skills: Customer Service, Sales, Leadership, Cash Handling, Facility Maintenance
Chattanooga, Tennessee, United States · Hybrid
$135k–$206k/yr
Description This position will offer you the ability to apply and expand your knowledge of underground transmission line engineering, including routing, duct bank configurations, manhole placement and electrical principl…
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Atlanta, Georgia, United States · On-site
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Skills: Project Scheduling, CPM Schedules, Primavera P6, Time Impact Analysis, Forensic Schedule Analysis
Morristown, Tennessee, United States · On-site
Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating…
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Charlotte, North Carolina, United States · On-site
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Collegedale, Tennessee, United States · On-site
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Murfreesboro, Tennessee, United States · On-site
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Murfreesboro, Tennessee, United States · On-site
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Nashville, Tennessee, United States · Hybrid
$130k–$150k/yr
We're looking for a Controller to own our financial operations as we scale. This is a hands-on leadership role for someone who thrives in a high-ownership environment -- someone who can create the financial structure, cl…
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Gray, Tennessee, United States · On-site
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Skills: Team Leadership, Inventory Management, Staff Recruitment, Scheduling, Cost Management
Gallatin, Tennessee, United States · On-site
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Nashville, Tennessee, United States · On-site
$126k–$264k/yr
Oracle Cloud Infrastructure (OCI) is building the next generation of cloud technologies that operate at massive scale. Our customers run some of the world’s most demanding workloads, and our network products form the fou…
Skills: Network architecture, Cloud infrastructure, Technical leadership, Product strategy, System design
Knoxville, Tennessee, United States · On-site
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Nashville, Tennessee, United States · On-site
$126k–$264k/yr
Oracle Cloud Infrastructure (OCI) is building the next generation of cloud technologies that operate at massive scale. Our customers run some of the world’s most demanding workloads, and our network products form the fou…
Skills: Technical leadership, Architectural vision, Product strategy, Cloud infrastructure, Network engineering
Nashville, Tennessee, United States · On-site
$170k–$355k/yr
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Skills: Physical Networking, Hyperscale Infrastructure, Network Operations, Incident Response, Change Management
Franklin, Tennessee, United States · On-site
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Skills: Electrical repairs, Plumbing, Carpentry, Painting, Custodial work
Nashville, Tennessee, United States · On-site
$102k–$210k/yr
Oracle Cloud Infrastructure (OCI) is building the next generation of cloud technologies at massive scale. Our customers run some of the world’s most demanding workloads, and our network products form the foundation of OC…
Skills: Technical leadership, Data center networking, Architectural design, Hardware collaboration, Network engineering
Nashville, Tennessee, United States · On-site
Fortress is an all-in-one property management software, designed by property managers for property managers. Fortress allows you to construct a solid foundation for your business. Gain access to the insights you need fro…
Skills: Product Strategy, Roadmap Planning, Market Research, User Research, Competitive Analysis
Nashville, Tennessee, United States · On-site
$115k–$235k/yr
The Principal Core Infrastructure Software Engineer is a Senior Staff-level, hands-on technical leadership role responsible for defining, building, and operating next-generation AI systems on Oracle Cloud Infrastructure …
Skills: Distributed Systems, AI Infrastructure, LLM Orchestration, Cloud Architecture, Agentic AI Platforms
Chattanooga, Tennessee, United States • Remote OK
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Perform quality and compliance audits to identify improvement opportunities and ensure audit readiness for organizations like URAC and NCQA. Collaborate with cross-functional teams to design solutions for healthcare service gaps and educate stakeholders on quality standards.
Requires an active Registered Nurse (RN) license and at least 4 years of experience in managed care or clinical quality improvement. A certification in healthcare quality or Lean Six Sigma is required or must be obtained within one year of hire.
We are hiring a Clinical Quality Research Analyst at BCBST!
In this role, you will support healthcare quality improvement efforts by analyzing complex data, conducting accreditation and regulatory audits, and identifying opportunities to strengthen compliance and operational performance. You’ll play a key role in ensuring audit readiness for organizations such as URAC, NCQA, and EQRO while helping drive meaningful improvements that enhance member outcomes and the overall healthcare experience.
You will contribute to organizational success by collaborating with cross-functional teams, educating stakeholders on quality and compliance standards, and serving as a trusted resource for audit readiness and process improvement initiatives. Additionally, you’ll evaluate trends, identify risks and gaps, and provide actionable recommendations that support sustainable improvements across the enterprise. Your ability to communicate effectively, build strong partnerships, and influence positive change will be essential to success in this role.
To be successful in this position, you’ll bring strong analytical skills, attention to detail, and the ability to thrive in a fast-paced, collaborative environment. Ideal candidates will have managed care experience and a strong understanding of regulatory and accreditation standards. A current RN license is required. Certifications in healthcare quality or process improvement, such as PAHM, CPHQ, Lean Six Sigma, or CCM, are preferred and will distinguish candidates seeking to expand their impact in quality management.
We foster a culture where innovation is encouraged. That includes using AI-enabled tools responsibly to support everyday work—guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we work, improve healthcare quality, and better serve our members.
License
Experience
Skills\Certifications
This position is a BBEX, Grade 10, Incentive AEP
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:
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.
Bringing peace of mind through better health to our customers and communities
As Tennessee's largest health plan, we've been helping Tennesseans find their own unique paths to good health for more than 70 years. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. Our mission is simple: peace of mind through better health. We're an independent, not-for-profit, locally governed health plan company – meaning we live and work alongside our Tennessee business customers and plan members. Our 6,000 employees across the state have built our strong reputation for integrity, excellent service and community leadership. But we are also part of the BlueCross BlueShield Association, a nationwide association of health care plans. Because of this, our plan members have access to the same quality health benefits while traveling or living out of state that they have while in Tennessee. © 2018 BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association.
Offices: 1 Cameron Hill Circle, Chattanooga, TN 37402-2555, US · 65 N Danny Thomas Blvd, Memphis, TN 38103-2398, US · 3200 West End Ave., Suite 102, Nashville, TN 37203, US · 6305 Kingston Pike, Knoxville, TN 37919, US · 161 Heart Dr, Johnson City, Tennessee 37604, US
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