Senior Manager, Quality Improvement
About The Position
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. This is a remote opportunity for candidates residing in the states of Kansas or Iowa. The ideal candidate will be a data-driven leader with experience/understanding of HEDIS, CAHPS, Star Ratings, gap closure, and provider quality improvement initiatives. They will also be skilled in analyzing data, identifying process improvements, and building strong partnerships with providers and cross-functional teams.
Requirements
- Bachelor’s degree in Business, Healthcare, or related field.
- 5+ years of quality management experience or equivalent leadership experience.
- Previous experience as lead in functional area, managing cross functional teams on large scale projects or supervisory experience which includes hiring, training, assigning work and managing the performance of staff.
- Experience/understanding of HEDIS, CAHPS, Star Ratings, gap closure, and provider quality improvement initiatives.
- Skilled in analyzing data, identifying process improvements, and building strong partnerships with providers and cross-functional teams.
Nice To Haves
- Master's degree preferred.
Responsibilities
- Provide leadership and direction for continuous quality improvement (QI) initiatives to improve efficiency, processes and demonstrate improved quality.
- Provide and analyze reports to identify trends, opportunities and recommend initiatives aimed at improving quality of care and services provided by the organization.
- Oversee accreditation process, specifically as it pertains to National Committee for Quality Assurance (NCQA) Accreditation and compliance with contractual requirements.
- Responsible for overall coordination of company-wide quality assessment and improvement activities.
- Oversee and coordinate with Corporate on annual file audits and other quality related initiatives to include those of a contractual nature.
- Manage and implement appropriate work tools/processes, reports and audit tools to ensure control of key processes and program characteristics.
- Recommend quality improvement opportunities based on findings and participation in developing and implementing solutions to management and the Quality Improvement Committee (QIC) and other committees, as appropriate.
- Provide feedback to rectify errors and to prevent further inconsistencies.
- Oversee monthly and quarterly reports and data to identify trends, opportunities for improvement and interventions.
- Responsible for policies, operating procedures, and aligning goals in compliance with internal and external guidelines.
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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What This Job Offers
Job Type
Full-time
Career Level
Senior
