Quality Improvement Specialist (Non Clinical)

Centene Corporation
1dRemote

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. Position is remote. Candidate must reside in NV. Prefer candidate to live in/around Las Vegas.

Requirements

  • Bachelor’s degree in related field or equivalent experience.
  • 3+ years of related experience.
  • Valid driver’s license.
  • Position is remote.
  • Candidate must reside in NV.
  • Prefer candidate to live in/around Las Vegas.

Nice To Haves

  • 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
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