Quality Improvement Specialist (Non Clinical) (State)

Centene Corporation; Canada; Remote; CAD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented professional to support quality improvement initiatives. This role involves monitoring medical records, analyzing quality reporting results, and collaborating with various stakeholders to enhance healthcare quality. The ideal candidate will have strong proficiency in Adobe and a background in quality improvement, along with a commitment to excellence. With a flexible work environment and a comprehensive benefits package, this position offers a unique opportunity to make a significant impact on community health.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 3+ years of experience in quality improvement or related field.
• Bachelor’s degree or equivalent experience required.

Responsibilities

• Support quality improvement projects and reporting.
• Perform audits and monitor medical records for compliance.
• Train staff on quality improvement methodologies.

Skills

Chart Monitoring

Auditing Medical Records

Quality Improvement Planning

Adobe Proficiency

Data Analysis

Detail Orientation

Education

Bachelor's Degree in Related Field

Certified Professional in Healthcare Quality (CPHQ)

Tools

Adobe

Job description

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

• Strong Adobe proficiency (document management, attachments).

• 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.

• Attend Peer Review Committee meetings (last Thursday of each month, 6–9 PM PST)

• Perform audits on to meet state and internal requirements

• Highly detail-oriented with ability to meet strict turnaround times (TATs).

• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: Bachelor’s degree in related field or equivalent experience. Certified Professional in Healthcare Quality (CPHQ) preferred. 3+ years of related experience.

Pay Range: $26.50 - $47.59 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act