Supervisor, Quality of Care

Centene Corporation

3d • Remote

About The Position

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Candidate must reside in Arizona. Remote position with 25% travel statewide.

Requirements

• Bachelor's degree in applicable field of study and 4 years of experience in Behavioral Health or Quality Improvement.
• Minimum of 2 years clinical supervisory experience.

Responsibilities

• Manage all quality of care requirements to ensure the program meets the standards defined by the State, URAC and the annual Quality Management Plan
• Train, supervise, and monitor Quality of Care (QOC) Specialists to ensure accurate and timely processing of QOC data and subsequent reporting requirements
• Ensure clinical investigations and reporting processes are followed in accordance with the State requirements
• Analyze, track and trend results and develop accurate, timely quality indicator reports for management
• 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 various committees, State agencies, providers, and stakeholders.
• Provide clinical support to medical record audit and quality improvement processes

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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees