Director, Quality Improvement

Centene Corporation • Des Moines, IA

1d

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Must reside within Iowa or Kansas. The purpose of this position is to lead and direct process improvement activities that provide more efficient and streamlined workflow. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Requirements

• Bachelor's Degree Nursing, other related field or equivalent experience required.
• 7+ years of quality management, quality improvement or healthcare operations experience required.
• Must reside within Iowa or Kansas.

Nice To Haves

• Master's Degree preferred.
• Current state’s RN license highly preferred.
• Certified Professional in Health Care Quality preferred.

Responsibilities

• 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.

Benefits

• competitive pay
• health insurance
• 401K
• stock purchase plans
• tuition reimbursement
• paid time off
• holidays
• flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees