HEDIS Quality Advisor - Provider Education (LA)

Centene Corp.; Louisiana; Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K

Tuition reimbursement

Paid time off + holidays

Flexible schedules: remote, hybrid, or

Job summary

Centene Corp. in Louisiana seeks a Provider Quality & HEDIS Education Specialist who educates providers on NCQA HEDIS measures, coding, and documentation. You will analyze performance data, support risk adjustment, and collaborate with provider relations teams to improve outcomes.

The role requires a Bachelor’s degree, 3+ years HEDIS experience, and the ability to travel up to 75%. Competitive pay and a comprehensive benefits package accompany flexible schedules including remote, hybrid or

Qualifications

• Bachelor's Degree required.
• 3+ years in HEDIS record collection and risk adjustment (coding) required.

Responsibilities

• Delivers, educates and advises provider practices and IPAs in HEDIS measures and coding.
• Collects, summarizes and analyzes provider quality and risk adjustment performance data.
• Collaborates with Provider Relations to improve provider performance in Quality, Risk Adjustment and Operations.
• Identifies provider needs and supports improvement and gap closure.

Skills

HEDIS data collection

Provider education

Coding knowledge

Risk adjustment

Travel readiness

Education

Bachelor's Degree or equivalent

Job description

Centene Corp. in Louisiana seeks a Provider Quality & HEDIS Education Specialist who educates providers on NCQA HEDIS measures, coding, and documentation. You will analyze performance data, support risk adjustment, and collaborate with provider relations teams to improve outcomes.

The role requires a Bachelor’s degree, 3+ years HEDIS experience, and the ability to travel up to 75%. Competitive pay and a comprehensive benefits package accompany flexible schedules including remote, hybrid or