Accreditation Project Manager

Centene Corporation; North Carolina; On-site; USD 55,000 - 99,000; Full time

Job summary

Centene Corporation is looking for a Talent Advisor / Certified Diversity and Inclusion Recruiter to develop and manage performance improvement projects to enhance clinical quality. The ideal candidate will possess a Bachelor's degree and over three years of relevant experience in quality improvement and accreditation processes. The role involves ensuring compliance with NCQA and HEDIS standards and coordinating audits, making it a critical position within the organization.

Benefits

Medical insurance

Vision insurance

401(k)

Qualifications

• Bachelor’s degree required.
• 3+ years of related quality improvement, HEDIS and/or NCQA experience.
• Proficient in developing accreditation processes.

Responsibilities

• Develop Performance Improvement projects to enhance clinical quality.
• Maintain accreditation readiness and coordinate oversight mechanisms.
• Conduct training programs for NCQA and HEDIS activities.

Skills

Quality Improvement

Accreditation Knowledge

HEDIS

NCQA Compliance

Education

Bachelor’s degree in Business or related field

Job description

This range is provided by Centene Corporation. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$55,100.00/yr - $99,000.00/yr

Direct message the job poster from Centene Corporation

Talent Advisor / Certified Diversity and Inclusion Recruiter

Job Description

Position Purpose: Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.

• Must reside in NC
• Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.
• Develop and maintain accreditation readiness schedule.
• Creates policy and procedures to support accreditation activities.
• Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.
• Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.
• Coordinate assigned NCQA and HEDIS work plan activities.
• Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.

Must reside in NC

Education/Experience: Bachelor’s degree in Business, related field or equivalent experience. 3+ years of related quality improvement, HEDIS and/or NCQA experience.

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Project Management and Quality Assurance

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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