Quality Improvement Specialist (Non Clinical)
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 Purpose: 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
Requirements
- Bachelor’s degree in related field or equivalent experience.
- 3+ years of related experience.
- Valid driver’s license.
Nice To Haves
- Certified Professional in Healthcare Quality (CPHQ) preferred.
- Certified Professional in Health Care Quality (CPHQ) preferred.
- Prefer candidate to live in California.
- Will work PST hours.
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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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Number of Employees
5,001-10,000 employees
