Manager, Quality Improvement Analytics

Centene Corporation

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. The purpose of this position is to manage and develop data necessary to analyze trends over various timeframes. This role involves managing the data mining process and analysis using internally supported database programs, and collaborating with various departments and other key business units to identify areas for process improvement initiatives.

Requirements

Bachelor’s degree in Business, Computer Science, Nursing, or other health care related field or equivalent experience
3+ years of related analytical experience in managed health care, Medicare or Medicaid
Experience with concepts of information management
In depth knowledge of medical terminology, coding issues and practices, including ICD-9, CPT4, HCPCS Level II
Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff

Nice To Haves

SAS experience is highly preferred

Responsibilities

Manage and develop data necessary to analyze trends over various timeframes
Manage the data mining process and analysis using internally supported database programs
Collaborate with various departments and other key business units to identify areas for process improvement initiatives
Manage staff to ensure the accuracy and timeliness of data requests
Evaluate reports produced by the Quality Initiative (QI) Department and other various departments for trends and opportunities for improvement
Manage the design of tools and databases to capture and track data, methodologies, findings and analysis and ensure data collection/extractions, analysis and submissions meet regulatory compliance requirements
Monitor data and information to assist QI department staff members in improving HEDIS and other required measures
Research and establish benchmarks and statistics for quality measures
Develop, prepare and present reports on quality programs and issues to both internal and external stakeholders
Evaluate and test new or modified programs and procedures used to verify that QI functions and conforms to established guidelines
Performs other duties as assigned
Complies with all policies and standards