HEDIS Quality Practice Advisor for Providers (Travel)

Centene Management Company LLC; Michigan; Hybrid; USD 37,000 - 67,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Remote, hybrid, field or office work S

Flexible work arrangements

Job summary

Centene Management Company LLC is seeking an Associate Quality Practice Advisor to partner with providers across Southwest Michigan. The role focuses on HEDIS education, medical record documentation, coding accuracy, and provider performance improvement with up to 50% travel.

You will collect and trend performance data, support quality and risk adjustment initiatives, and deliver provider-specific metrics and coaching to close care gaps while ensuring regulatory compliance and timely reporting.

Qualifications

• Required: Bachelor's degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field.
• Preferred: Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field.
• 1+ year of HEDIS medical record review or quality improvement experience, or 2 years medical coding or related transferable experience.

Responsibilities

• Educates providers on HEDIS measures, medical record documentation, and coding.
• Collects, summarizes and trends provider performance data for improvement opportunities.
• Collaborates to improve provider performance in Quality, Risk Adjustment and Operations.
• Delivers provider-specific metrics and coaches on gap closing opportunities.
• Ensures documentation complies with state regulations and accrediting requirements.

Skills

HEDIS knowledge

Provider education

Data collection & analysis

Regulatory compliance

Education

Bachelor's degree in healthcare etc.

Master's degree preferred

Job description

Centene Management Company LLC is seeking an Associate Quality Practice Advisor to partner with providers across Southwest Michigan. The role focuses on HEDIS education, medical record documentation, coding accuracy, and provider performance improvement with up to 50% travel.

You will collect and trend performance data, support quality and risk adjustment initiatives, and deliver provider-specific metrics and coaching to close care gaps while ensuring regulatory compliance and timely reporting.