CHOICES Consumer Advocate- East Grand Region

Our CHOICES Member Advocacy team is hiring for a Consumer Advocate!

We are seeking a passionate and solutions‑driven Member Advocate who is committed to elevating the voice of TennCare CHOICES members and strengthening the quality of Long‑Term Services and Supports across our community. In this role, you will serve as a trusted navigator, problem‑solver, and program champion—helping members access services, resolve concerns, understand their rights, and stay safe and supported in the settings they call home. You will lead key member‑facing initiatives, including the facilitation of member Advisory Board meetings and forums, stakeholder discussions, and work collaboratively to bring resolution to member issues or concerns, ensuring that member experiences and feedback shape program improvements. Your work will also drive quality at a system level through conducting quality of life surveys, analysis of member feedback, and collaboration with TennCare and statewide partners to strengthen outcomes and advance person‑centered practices. This position is ideal for someone who wants to make a measurable impact on how older adults and individuals with disabilities experience care, dignity, and choice across Tennessee.

To be successful in this role, you will need:

• Strong advocacy skills

• Strong organizational skills, demonstrated through past experience planning meetings and events

• Strong communication and relationship building skills, demonstrated through meeting facilitation and experience building relationships in diverse community settings

• Critical thinking and analysis skills, with demonstrated experience identifying root causes and solving tough problems in previous roles

• Empathy and a desire to help others. Ideally, you'll have experience with the senior population or individuals with disabilities.

Notes:

• This is a remote job that may require some weekend work and minimal overnight travel.

• Sponsorship is not available for this role.

• 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 serve members.

Job Responsibilities

• Utilizes expertise to assist in resolution of member associated concerns regarding the safety and well-being of the member.
• Serves as ex officio member of the Advisory Group, responsible for coordinating, oversee order fulfillment, taking meeting minutes and documenting action items for follow-up and facilitating the Quarterly Advisory Group meetings, community forums and makes recommendations regarding potential changes to the Program
• Spearheads and coordinates quality initiatives and comprehensive prevention outreach programs; ensures successful completion of assigned projects and monitoring the processes to ensure compliance with quality level and regulations and to reduce the business or fraud risk exposed to company.
• Serves as the internal representation of these members interests, including, but not limited to, input into planning and delivery of services for members receiving either Behavioral Health Services or long term services and supports and/or individuals with intellectual and developmental disabilities, program monitoring and evaluation, and member, family, and provider education; Serves as an Advocate in assisting members or member representatives with navigating through program processes.
• Ability to travel with short notice which may include overnight stays

Job Qualifications

Education

• Bachelors degree in social work, nursing, education or other human service (e.g. psychology, sociology) or health care profession or related field; or equivalent work experience required.

Experience

• 3 years - Experience in Medicare/Medicare SNP or Medicaid/Medicaid SNP programs required; depending on the department.

Skills\Certifications

• Knowledge of educational programs, including research projects, extra-curricular activities, and academic planning; ability to manage these programs.
• Ability to conceive and deliver innovative solutions
• Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
• Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint)
• Proven ability to research independently and make sound decisions is required
• Must be a team player, be organized and have the ability to handle multiple projects
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills
• Strong analytical skills

License

• Valid Driver's License

Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times.

Number of Openings Available

1

Worker Type:

Employee

Company:

VSHP Volunteer State Health Plan, 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.