Quality Improvement Analyst

Centene Corporation•St. David's, MO

3d•$56,200 - $101,000•Remote

About The Position

Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets. This is a remote position with working hours of 8:00 a.m. to 5:00 p.m. in the candidate’s time zone. The ideal candidate has experience developing and maintaining PowerBI and SharePoint sites and holds a Six Sigma White Belt certification or is willing to obtain it within 90 days of hire. The role performs quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends. It develops extraction specifications and produces quarterly, annual, and ad hoc reports with analysis and narrative for NCQA accreditation and Health Plan deliverables. The analyst also performs other performance and process improvement activities and duties as assigned, and complies with all policies and standards. Centene describes its work as supporting access to healthcare and improving the health of individuals, families, and communities. Pay is listed at $56,200 to $101,000 per year and may vary based on skills, experience, education, and other job-related factors. The position includes a comprehensive benefits package, subject to program eligibility.

Requirements

Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or a related field.
At least 2 years of performance and statistical analysis or quality improvement experience.
Six Sigma White Belt certification or willingness to obtain it within 90 days of hire.

Nice To Haves

Experience in public sector managed care or managed behavioral health care.
Experience with standard statistics software.
Certified Professional in Healthcare Quality (CPHQ) certification.
Experience developing and maintaining PowerBI and SharePoint sites.

Responsibilities

Perform ongoing quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends.
Develop extraction specifications for HEDIS measures, service utilization, and quality reports.
Develop and update quarterly, annual, and ad hoc reports, including analysis and narrative for NCQA accreditation and Health Plan deliverables.
Perform other performance and process improvement activities as needed.
Perform other duties as assigned.
Comply with all policies and standards.