Lead Quality Program Strategist

Centene Corporation

23h•Hybrid

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 be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Identifies quality performance trends, develops key strategic improvement programs and initiatives, and ensures those programs and initiatives are implemented to impact quality rating system performance. Identifies trends within quality data utilizing product scorecards, provider scorecards, and enterprise dashboards to strategically develop programs and initiatives in response to those trends to drive improvement. Programs and initiatives are quality driven but could impact departments across the enterprise. Assists stakeholders to determine the root cause of their business issues and recommend solutions to resolve. Ensures implementation of strategic programs and initiatives alongside key stakeholders to drive improvement in quality rating systems and business value. Performs other duties as assigned.

Requirements

Bachelor’s degree in Nursing, Public Health, Health Administration, Business Administration, related field, or equivalent experience.
5+ years of experience in healthcare quality, including STARS, QRS, and HPRS

Nice To Haves

Lean Six Sigma or CPHQ preferred

Responsibilities

Identifies quality performance trends, develops key strategic improvement programs and initiatives, and ensures those programs and initiatives are implemented to impact quality rating system performance.
Identifies trends within quality data utilizing product scorecards, provider scorecards, and enterprise dashboards to strategically develop programs and initiatives in response to those trends to drive improvement.
Programs and initiatives are quality driven but could impact departments across the enterprise.
Assists stakeholders to determine the root cause of their business issues and recommend solutions to resolve.
Ensures implementation of strategic programs and initiatives alongside key stakeholders to drive improvement in quality rating systems and business value.
Performs other duties as assigned.