Provider Data Consultant

We are hiring a Provider Data Consultant at 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 drive provider credentialing, contracting, enrollment and data quality.

This role goes beyond traditional technology - you'll help drive automation and apply AI-enabled solutions to improve efficiency and data quality. You'll build agents, 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-on solution 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 with FHIR and APIs and integration tools to support end-to-end data workflows
  

Important Notes:

• This is a remote position, but the final round of interviews will take place on-site in our Chattanooga, TN office .
• Sponsorship is not 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.