Quality Improvement Specialist (non Clinical)

Centene Corporation; Deutschland; Hybrid; EUR 32.000 - 57.000; Vollzeit

Benefits dieser Stelle

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Zusammenfassung

Centene is seeking a Quality Improvement Specialist to support the development and maintenance of quality improvement projects and reporting. You will conduct heavy chart monitoring, auditing of medical records, and respond to quality improvement inquiries.

You will monitor reporting production, analyze trends, prepare ad-hoc reports, and work with management to develop and implement quality improvement plans.

Qualifikationen

• Bachelor’s degree or equivalent experience in a related field.
• Certified Professional in Healthcare Quality (CPHQ) preferred.
• 3+ years of related experience.

Aufgaben

• 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 to meet state and internal requirements.
• Performs other duties as assigned.
• Complies with all policies and standards.

Kenntnisse

Quality improvement

Auditing

Medical records review

Data analysis

Ausbildung

Bachelor's degree in related field

CPHQ preferred

Jobbeschreibung

Position Purpose

Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.

Key Details

Candidates residing in California are strongly preferred and all candidates must be available to work Pacific Time (PST) business hours. Certification as a Certified Professional in Health Care Quality (CPHQ) is preferred. Ideal candidates will have experience with HEDIS, audit processes, and medical records review.

• 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

Education/Experience

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

License/Certification

Valid driver’s license. Certified Professional in Health Care Quality (CPHQ) preferred.

Pay Range: $27.02 - $48.55 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.

You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including:

• 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

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