Quality Improvement Specialist (Non Clinical)

Centene Corporation
Remote

About The Position

Centene is seeking a Quality Improvement Specialist to support the development and maintenance of quality improvement related projects and reporting, and to respond to quality improvement inquiries. This role is crucial for transforming the health of Centene's 28 million members by ensuring high-quality healthcare and innovative programs. The position is remote, but the candidate must reside in Arizona, with a preference for those living in or around Tempe or Tucson.

Requirements

  • Bachelor’s degree in related field or equivalent experience
  • 3+ years of related experience
  • Valid driver’s license
  • Candidate must reside in AZ

Nice To Haves

  • Certified Professional in Healthcare Quality (CPHQ) preferred
  • Prefer candidate to live in/around Tempe or Tucson

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
  • stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules
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