Quality Practice Lead — Clinical & Risk-Adjustment

Centene Management Company LLC; United States; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

competitive pay

health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

remote, hybrid, field or office work S

Job summary

Centene Management Company LLC seeks a senior leader to oversee clinical quality, risk adjustment, and value-based contracts. This role directs QA field staff and administrative teams to improve member care, cut costs, and identify risk opportunities through data-driven analysis and cross-functional collaboration.

The position is based in the Indianapolis area with travel about 30%. A bachelor’s degree and 3 years’ experience (leadership in managed care preferred) are required, with flexible

Qualifications

• Bachelor’s degree in health care, Nursing, Public Health Administration or Business, or equivalent work experience.
• 3 years of experience; leadership experience preferred.
• Experience working in a managed care environment.

Responsibilities

• Provide leadership and direction for clinical, quality, risk-adjustment, and value-based contracts.
• Supervise field staff and administrative personnel to improve member care and reduce costs.
• Analyze program progress and outcomes and collaborate with cross-functional teams.

Skills

Leadership

Data analysis

Project management

Collaborative teamwork

Education

Bachelor’s degree in health care / related field

Job description

Centene Management Company LLC seeks a senior leader to oversee clinical quality, risk adjustment, and value-based contracts. This role directs QA field staff and administrative teams to improve member care, cut costs, and identify risk opportunities through data-driven analysis and cross-functional collaboration.

The position is based in the Indianapolis area with travel about 30%. A bachelor’s degree and 3 years’ experience (leadership in managed care preferred) are required, with flexible