Supervisor, Quality Improvement

Centene Corporation•Remote-FL, FL

2d•$70,100 - $126,200

About The Position

The Supervisor, Quality Improvement supervises and monitors Quality Improvement Associates who support Retention activities, ensuring members receive accurate information and that standard operating procedures and quality assurance standards are met. The role manages associate production, assesses the skills of new and existing staff, and facilitates training to address identified gaps. The position uses research and best practices to support effective project implementation and outcomes, investigates ways to use infrastructure tools to improve productivity and performance, and collects, analyzes, and summarizes data to prepare reports and recommendations. The role requires residence in Florida, knowledge of multiple lines of business, and strong knowledge of managed care, health insurance concepts, and regulation. HEDIS experience is highly preferred.

Requirements

Associate degree (AA/AS) or equivalent required.
One to two years of managed care experience required, including knowledge of the industry and its terminology.
One to two years of related experience required.
Must reside in Florida.
Knowledge of multiple lines of business.
Strong knowledge of managed care, health insurance concepts, and regulation.
Proficiency in Microsoft Excel, Word, and Access; Lotus Notes; and the Internet.
Knowledge of quality programs, including measures associated with QARR and HEDIS.
Strong analytical and problem-solving skills and ability to work in a fast-paced environment.
Ability to communicate with all levels of management and with internal and external customers.
Ability to work well independently or as part of a team.
Ability to communicate professionally and with cultural sensitivity.

Nice To Haves

HEDIS background is highly preferred.
One to three years of supervisory experience preferred.

Responsibilities

Supervise and monitor Quality Improvement Associates supporting Retention activities.
Ensure members receive accurate information and standard operating procedures and quality assurance standards are met.
Manage associate production and assess the skills of new and existing staff.
Facilitate training to address identified performance gaps and assist Retention Management in maintaining consistent service levels.
Supervise a team of Quality Improvement Associates to meet monthly audit performance metrics.
Investigate ways to use infrastructure tools to optimize productivity and performance.
Follow organizational standards to maintain quality service and identify, prevent, resolve, and overcome obstacles in the call-handling process.
Collect, analyze, and summarize data to prepare reports and make recommendations.
Research and apply best practices to achieve effective project implementation and outcomes.
Lead or coordinate projects within the department.
Communicate professionally and with cultural sensitivity with management, internal and external customers, and technical and business constituencies.
Prepare effective written business specifications and requirements.