Clinical Quality Improvement Coordinator II (Remote)

Centene Corp.; Nevada; Hybrid; USD 46,000 - 84,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Job summary

Centene Corp. in Nevada seeks a Quality Improvement Coordinator to coordinate and monitor quality improvement and organizational projects from inception to closure, ensuring NCQA/URAC and state requirements. The candidate must reside in NV, hold a nursing license (RN/LPN/LVN) and a Bachelor’s in Nursing or related field.

Minimum 3+ years clinical experience and 1+ year in quality function are expected; CPHQ preferred. Pay range: $33.71-$60.67 per hour.

Qualifications

• Bachelor’s degree in Nursing or related medical field preferred; 3+ years clinical experience and 1+ year in quality function.
• Hands on experience with writing and implementing policies/procedures to support NCQA/URAC or JCAHO accreditation standards preferred.
• Basic understanding of health insurance business, claims payment procedures, and trends in health care.

Responsibilities

• Coordinate and monitor quality improvement projects from inception to closure.
• Assist with Plan compliance to NCQA/URAC standards with Director of Accreditation.
• Identify best practices and propose program enhancements.
• Support project lifecycle: requirements, planning, resources, execution, deployment, closure.
• Collect and present data for QI projects with defined sources and timelines.
• Comply with policies and standards.

Skills

Quality improvement

Project coordination

Data collection

Education

Bachelor's degree in Nursing or related medical field

CPHQ preferred

Job description

Centene Corp. in Nevada seeks a Quality Improvement Coordinator to coordinate and monitor quality improvement and organizational projects from inception to closure, ensuring NCQA/URAC and state requirements. The candidate must reside in NV, hold a nursing license (RN/LPN/LVN) and a Bachelor’s in Nursing or related field.

Minimum 3+ years clinical experience and 1+ year in quality function are expected; CPHQ preferred. Pay range: $33.71-$60.67 per hour.