Quality Program Strategist

Centene Management Company LLC; Missouri; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K

Tuition reimbursement

Paid time off

Flexible work schedules

Job summary

Centene is seeking a remote Medicare Quality specialist on the Medicare Quality team. The role prioritizes experience with Medicare Stars to drive program impact.

Responsibilities include planning, organizing, and monitoring quality projects, analyzing metrics, and supporting enterprise-wide quality initiatives using Lean Six Sigma methods. RN/LPN/LCSW with 2+ years clinical or managed care experience required; CP HQ preferred.

Qualifications

• Associate degree or higher in nursing/public health or related field.
• RN/LPN/LCSW preferred; 2+ years clinical or managed care experience.
• CPHQ certification preferred.

Responsibilities

• Plans, organizes and monitors quality projects to meet objectives.
• Analyze risk and improve health plan quality metrics and programs.
• Utilize Lean Six Sigma methods to identify and resolve issues.

Skills

Quality improvement

Data analysis

Lean Six Sigma

Healthcare experience

Education

Associate degree in Nursing/Public Health/related field

CPHQ preferred

Job description

This is a remote opportunity on the Medicare Quality team. Experience with Medicare Stars is highly preferred.

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 and 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.

Education/Experience

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

$56,200.00 - $101,000.00 per year.

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 Employer

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.

Additional Company Statement

Centene is committed to helping people live healthier lives.

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.