Quality Improvement Specialist (non Clinical)

Centene Corporation • Remote-CA, CA

3d • $27 - $49 • Hybrid

About The Position

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Requirements

• Bachelor’s degree in related field or equivalent experience.
• 3+ years of related experience.
• Candidates residing in California are strongly preferred.
• All candidates must be available to work Pacific Time (PST) business hours.
• Valid driver’s license.

Nice To Haves

• Certification as a Certified Professional in Health Care Quality (CPHQ) is preferred.
• Ideal candidates will have experience with HEDIS, audit processes, and medical records review.
• Certified Professional in Healthcare Quality (CPHQ) preferred.
• Certified Professional in Health Care Quality (CPHQ) preferred.

Responsibilities

• Support the development and maintenance of quality improvement related projects and reporting.
• Respond to quality improvement inquiries.
• Heavy chart monitoring and auditing of medical records.
• Monitor the production of quality results reporting; analyze, track and trend the reporting results and report them to management.
• Formulate and prepare ad-hoc and additional reporting requirements.
• Recommend, develop, and implement quality improvement plans with management.
• Train providers and staff in methodologies and tools of continuous quality improvement.
• Prepare for and participate in meetings with State agencies, providers, and stakeholders.
• Perform audits on to meet state and internal requirements.
• Performs other duties as assigned.
• Complies with all policies and standards.

Benefits

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level