Director, Digital Quality Measurement (Remote)

Centene Management Company LLC; Missouri; Hybrid; USD 108,000 - 199,000; Full time

Benefits offered by this job

Remote work flexibility

Competitive benefits

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules

Job summary

Centene Management Company LLC is seeking a senior leader to drive the digital quality measurement strategy and modernize how clinical quality data is collected, validated, and reported.

You will lead NCQA/HEDIS initiatives, oversee STARS improvements, and translate clinical requirements into scalable operational and technology solutions while supporting a remote work setup across the United States.

Qualifications

• Bachelor's Degree in Nursing or related field required.
• 7+ years in quality management or healthcare operations.
• Experience with NCQA accreditation and HEDIS preferred.
• Strong strategic thinking with audit readiness abilities.

Responsibilities

• Lead and direct digital quality measurement strategy and roadmap.
• Collaborate on NCQA accreditation and HEDIS performance improvements.
• Improve STARS ratings for Medicare products (HEDIS/CAHPS/HOS).
• Oversee provider satisfaction surveys and action plans.
• Translate clinical requirements into operational/tech solutions.
• Present results to senior management; establish policies.

Skills

Digital quality measurement

HEDIS

FHIR interoperability

Quality improvement

Operational & tech solutions

Education

Bachelor's Degree in Nursing

Master's Degree preferred

Job description

Centene Management Company LLC is seeking a senior leader to drive the digital quality measurement strategy and modernize how clinical quality data is collected, validated, and reported.

You will lead NCQA/HEDIS initiatives, oversee STARS improvements, and translate clinical requirements into scalable operational and technology solutions while supporting a remote work setup across the United States.