Lead Quality Program Strategist

Centene; United States; Remote; USD 86,000 - 155,000; Full time

Job summary

A leading organization in managed care is seeking a dedicated professional to enhance quality performance for 28 million members. The role involves identifying trends in quality data and implementing strategic initiatives to improve healthcare outcomes. Candidates should have a relevant Bachelor's degree and extensive experience in healthcare quality. A comprehensive benefits package is offered, including competitive pay and flexible work arrangements.

Benefits

Health Insurance

401K

Stock Purchase Plans

Tuition Reimbursement

Paid Time Off

Flexible Work Schedules

Qualifications

• 5+ years of experience in healthcare quality, including STARS, QRS, and HPRS.

Responsibilities

• Identifies trends within quality data to develop improvement programs.
• Assists stakeholders to determine root causes and recommend solutions.
• Ensures implementation of strategic programs to drive improvement.

Skills

Healthcare Quality

Data Analysis

Education

Bachelor’s degree in Nursing

Bachelor’s degree in Public Health

Bachelor’s degree in Health Administration

Bachelor’s degree in Business Administration

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

Identifies quality performance trends, develops key strategic improvement programs and initiatives, and ensures those programs and initiatives are implemented to impact quality rating system performance.

• Identifies trends within quality data utilizing product scorecards, provider scorecards, and enterprise dashboards to strategically develop programs and initiatives in response to those trends to drive improvement. Programs and initiatives are quality driven but could impact departments across the enterprise.
• Assists stakeholders to determine the root cause of their business issues and recommend solutions to resolve.
• Ensures implementation of strategic programs and initiatives alongside key stakeholders to drive improvement in quality rating systems and business value.
• Performs other duties as assigned.

Education/Experience:

Bachelor’s degree in Nursing, Public Health, Health Administration, Business Administration, related field, or equivalent experience. 5+ years of experience in healthcare quality, including STARS, QRS, and HPRS.

License/Certification:

Lean Six Sigma or CPHQ preferred.

Pay Range: $86,000.00 - $154,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

About the company

Centene Corporation is a publicly traded managed care company based in St.