HEDIS Quality Coach for Provider Practices

Centene Management Company LLC; Iowa (LA); Híbrido; USD 37.000 - 68.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Competitive pay

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off & holidays

Flexible work options: remote/hybrid/3

Descripción de la vacante

Centene Management Company LLC seeks a Quality and Risk Adjustment specialist to educate provider practices on HEDIS measures and coding, traveling up to 75% across Central and Eastern IA. A Bachelor’s degree and 3+ years in HEDIS record collection and risk adjustment are required.

Role includes data collection and analysis, collaboration with Provider Relations, and ensuring NCQA/compliance standards are met. Flexible scheduling with travel supports improved provider performance and outcomes.

Formación

• Bachelor's Degree or equivalent required.
• 3+ years in HEDIS record collection and risk adjustment (coding) required.
• Licenses/Certifications: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS.

Responsabilidades

• Delivers and educates provider practices and IPAs in HEDIS measures and coding.
• Collects, summarizes, trends and presents provider quality and risk adjustment data.
• Collaborates with Provider Relations to improve provider performance in Quality, Risk Adjustment and Operations.

Conocimientos

HEDIS measures knowledge

Risk adjustment coding

Provider education

Educación

Bachelor's Degree or equivalent

Descripción del empleo

Centene Management Company LLC seeks a Quality and Risk Adjustment specialist to educate provider practices on HEDIS measures and coding, traveling up to 75% across Central and Eastern IA. A Bachelor’s degree and 3+ years in HEDIS record collection and risk adjustment are required.

Role includes data collection and analysis, collaboration with Provider Relations, and ensuring NCQA/compliance standards are met. Flexible scheduling with travel supports improved provider performance and outcomes.