Quality Improvement Specialist I

Centene Management Company LLC; Pennsylvania; Hybrid; USD 32,000 - 55,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible approach to work with remote,

hybrid, field or office work schedules

Job summary

Centene Management Company LLC in Pennsylvania seeks a data management professional to support quality improvement initiatives across assigned areas, focusing on NCQA and HEDIS documentation gaps while coordinating core health services data reporting.

The role involves auditing data for accuracy, reporting outcomes to management, and assisting with databases and procedures; a candidate with 2+ years in data management and an associate degree is preferred, with flexible remote/hybrid work options.

Qualifications

• Associate's degree in related field or equivalent experience.
• 2+ years of data management, including reporting, project management or quality improvement.

Responsibilities

• Support data management and quality improvement initiatives for assigned functional areas.
• Assist with development and coordination of core health services data reports.
• Support the development of quality improvement performance audit function processes and tools.
• Assist in designing, running, managing, and data review processes for assuring accuracy and integrity of health services data reports to meet regulatory and operational requirements.
• Report outcomes and quality monitoring results to management.
• Assist with managing databases, policies and procedures related to assigned areas.
• Assist with related activities for various committees and meetings for assigned areas.

Skills

Data management

Quality improvement

Reporting

Project management

Education

Associate's degree in related area or equivalent experience

Job description

Position Purpose

Support the data management and quality improvement initiatives for assigned functional areas.

Key Details

• This position supports or PA Health and Wellness plan and strives for quality Improvement addressing gaps in documentation for NCQA and HEDIS requirements.
• Assist with the development and coordination of all core health services data reports.
• Support the development of quality improvement performance audit function processes and tools.
• Assist in designing, running, managing, and data review process for assuring accuracy and integrity of health services data reports to meet regulatory and operational requirements.
• Report outcomes and quality monitoring results to management.
• Assist with managing databases, policies and procedures related to assigned areas.
• Assist with related activities for various committees and meetings for assigned areas.

Education/Experience

Associate's degree in related area or equivalent experience.

2+ years of data management, including reporting, project management or quality improvement experience.

Pay Range

$23.23 - $39.61 per hour

Company Overview

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.

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• 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.

Equal Opportunity Statement

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.

We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.