Quality Improvement Specialist I

Centene Corporation; Pennsylvania; Hybrid; USD 32,000 - 55,000; Full time

Job summary

Centene Corp. is seeking a data management/quality improvement professional to support PA Health and Wellness plan. The role focuses on improving documentation quality to meet NCQA/HEDIS requirements and coordinating core health services data reports.

At least an associate’s degree and 2+ years in data management, reporting, or quality improvement are required. The position offers flexible schedules including remote, hybrid, field or office work to support diverse teams.

Qualifications

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

Responsibilities

• Assist in developing and coordinating 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.

Skills

Data management

Reporting

Quality improvement

Education

Associate's degree

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

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