Centene Corporation

Compensation

Full Description

Description: • Lead and direct process improvement activities that provide more efficient and streamlined workflow • Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance • Responsible for quality improvement aspects of risk adjustment processes for all products • Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS) • Oversee provider satisfaction surveys and implement action plans for improvements • Research and incorporate best practices into operations • Organize and control activities, methods, and procedures to achieve business objectives • Review and implement new technological tools and processes and fosters team concept with internal and external constituencies • Present results of improvement efforts and ongoing performance measures to senior management • Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines • Performs other duties as assigned • Complies with all policies and standards Requirements: • Bachelor's Degree Nursing, other related field or equivalent experience required • Master's Degree preferred • 7+ years of quality management, quality improvement or healthcare operations experience required • Certified Professional in Health Care Quality preferred Benefits: • competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules