Quality Program Strategist

Centene Corporation; Kansas; Remote; USD 55,000 - 99,000; Full time

Job summary

A leading company in health care is seeking a Quality Program Strategist to oversee and enhance quality initiatives. The role involves analyzing metrics, collaborating on improvements, and requires a background in clinical fields and quality experience. This fully remote position offers competitive benefits and opportunities for professional growth.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 2+ years clinical experience or managed care.
• Health insurance experience required; 1+ year quality experience preferred.

Responsibilities

• Monitor quality-related projects to meet strategic objectives.
• Analyze and recommend quality improvements to health plan programs.
• Create quality risk assessments and develop improvement processes.

Skills

Quality Metrics

Project Management

Lean 6 Sigma

Education

Associate’s degree in Nursing, Public Health, or related clinical field

Job description

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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose

Plans, organizes, and monitors quality-related projects to deliver defined requirements and meet company strategic objectives.

• Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan programs, including the determination of the appropriate target population, health program design, marketing of the program, and data systems; recommend quality improvements to achieve goals, including updates to programs and processes.
• Create quality risk assessments and develop processes for health plans to achieve quality metrics.
• Utilize Lean 6 Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics.
• Collaborate through ad hoc initiative requests and scorecard review to support initiative development and implementation.
• Create, maintain, and facilitate quality improvement health plan training.
• Performs other duties as assigned.
• Complies with all policies and standards.
• This position is fully remote. Ideal candidate will have experience working on HEDIS initiatives and strategies, located in eastern or central time zones.

Education/Experience

Associate’s degree in Nursing, Public Health, or related clinical field, or equivalent experience. 2+ years clinical experience or managed care. Health insurance experience required; 1+ year quality experience preferred.

License/Certification

Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker preferred; CPHQ preferred.

Pay Range $55,100.00 - $99,000.00 per year.

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 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 law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.

Seniority level

• Not Applicable

Employment type

• Full-time

Job function

• Business Development and Sales

Industries

• Hospitals and Health Care and Insurance