Quality Improvement Analyst

Centene Corporation; Missouri; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K

Stock purchase plan

Tuition reimbursement

Paid time off

Flexible schedule

Job summary

Centene Corporation seeks a data-driven professional to measure, analyze, and monitor member outcomes and performance datasets. The role focuses on HEDIS measures, service utilization, and quality reporting for NCQA accreditation and health plan deliverables.

You will develop extraction specifications, support quality improvement initiatives, and help ensure compliance with policies and standards while collaborating across teams in a flexible hybrid work environment.

Qualifications

• Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field.
• At least 2 years of performance and statistical analysis or quality improvement experience.
• Experience in public sector managed care or managed behavioral health care preferred.

Responsibilities

• Perform ongoing quantitative and statistical analysis of performance data, including HEDIS measures.
• Develop HEDIS measures, service utilization, and quality report extraction specifications.
• Create quarterly, annual, and ad hoc reports with analysis and narrative for NCQA accreditation and health plan deliverables.
• Conduct performance and process improvement activities as needed.
• Complies with all policies and standards.

Skills

Quantitative analysis

Statistical analysis

HEDIS data analysis

Quality improvement

Education

Bachelor’s degree in Healthcare Management/Business/Social Work/Biostatistics

Job description

Position Purpose: Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets.
Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

• Perform ongoing quantitative and statistical analysis of performance data to include HEDIS measures, service utilization and member/provider complaint trends
• Develop HEDIS measures, service utilization and all quality report extraction specifications
• Develop and update quarterly, annual and ad hoc reports including analysis and narrative for NCQA accreditation and Health Plan deliverables
• Perform other performance and process improvement activities as needed
• Performs other duties as assigned
• Complies with all policies and standards
  

Education/Experience: Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field. 2+ of performance and statistical analysis or quality improvement experience. Experience in public sector managed care/managed behavioral health care preferred. Experience with standard statistics software preferred.
Pay Range: $56,200.00 - $101,000.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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