Centene Corporation

Compensation

Full Description

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Develop and oversee quality improvement programs and strategies for the business unit that elevate performance and enhance member outcomes. Assist in the development and application of the business unit's strategic mission and vision. Identify and champion the selection, prioritization and implement of high-impact process improvement activities across the enterprise, fostering a culture of continuous improvement, operational excellence, and member-centric care. • Responsible for driving performance improvement for HEDIS, Stars, State Contract Quality & Pay for. • Performance/Withhold, Marketplace QRS and Medicare Quality metrics and processes and other quality. • improvement opportunities as needed. • Develop and implement strategies grounded in member insights, to enhance care quality, member satisfaction, and health outcomes in support of CAHPS and HOS. • Develop infrastructure and processes for management of activities related to National Committee for Quality Assurance (NCQA) Accreditation and Healthcare Effectiveness Data and Information Set (HEDIS) performance ensuring highest level of accreditation. • Support the development and implementation of enterprise wide and/or market specific quality and process improvement programing, enxuring alignment with strategic goals and reulatory requirements. • Review and present results of quality interventions for clinical and operational quality interventions, highlighting performance trends, improvement opportunities, and potential organizational risks to executive management. • Develop and ensure consistent, reliable, and valid data collection and analysis for priority performance measures, including pay for performance and contractual performance measures. • Review and analyze cost benefit and return on investment analyses to guide strategic resource allocation and recommend action plans to maximize organizational value. • Partner with internal teams and external stakeholders to foster a culture of quality, innovation, and accountability across the organization. Education/Experience: Bachelor's Degree in healthcare or related clinical field required. Master's Degree in Business Administration preferred. 10+ years of healthcare operations experience including, quality and process improvement experience required. Experience with NCQA accreditation preparation and auditing, including the analysis of HEDIS performance measures. Experience leading initiatives to improve CAHPS and HOS performance metrics. Certified Professional in Health Care Quality (CPHQ) preferred. RN License preferred. Pay Range: $185,200.00 - $352,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act