Provider Data Consultant

Role Description

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.

Qualifications

• Bachelor’s degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience.
• 5 years - Experience working on data management, modeling, and integration required.
• 5 years - Experience with advanced reporting tools required.
• 3 years - IT lifecycle experience required.
• 3 years - Proven leadership and/or project management experience required.

Requirements

• 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.

Benefits

• Number of Openings Available: 1
• Worker Type: Employee