Provider Quality Liaison — Hybrid (NV) Elevate HEDIS

Centene Corp.; Nevada (IA); Hybrid; USD 27,000 - 45,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Flexible work arrangements

Job summary

Centene Corp. is seeking a Quality Engagement Specialist focused on improving provider performance across Medicare, Medicaid, and Ambetter products.

The role involves supporting quality initiatives, sharing HEDIS and CAHPS resources, and collaborating with internal teams to address barriers and drive performance improvements. Responsibilities include educating providers on documentation guidelines, performing outreach to close care gaps, and maintaining strong relationships with provider

Qualifications

• 2+ years of experience with clinical and member experience quality
• Ability to educate provider practices on HEDIS measures and documentation guidelines
• Experience coordinating with Provider Relations and other teams to improve quality performance

Responsibilities

• Act as a resource to providers for quality improvement through regular touch points and meetings
• Educate, support, and resolve provider site issues around P4P, CAHPS, HOS and related programs
• Collaborate with provider-facing teams to improve performance in clinical and member experience measures
• Develop and maintain provider relationships across all product lines (Medicare, Medicaid, Ambetter)
• Conduct outbound calls to members to encourage physician visits and close care gaps
• Adhere to all policies and standards

Skills

Provider engagement

Quality improvement

HEDIS knowledge

CAHPS awareness

Communication skills

Education

High school diploma or equivalent

Associate's degree preferred

Job description

Centene Corp. is seeking a Quality Engagement Specialist focused on improving provider performance across Medicare, Medicaid, and Ambetter products.

The role involves supporting quality initiatives, sharing HEDIS and CAHPS resources, and collaborating with internal teams to address barriers and drive performance improvements. Responsibilities include educating providers on documentation guidelines, performing outreach to close care gaps, and maintaining strong relationships with provider