Quality Program Strategist

Centene; United States; Remote; USD 55,000 - 99,000; Full time

Job summary

Centene is seeking a quality management professional to enhance health plan programs through strategic quality initiatives. This role involves analyzing quality metrics, creating risk assessments, and utilizing Lean Six Sigma methodologies. The ideal candidate will have clinical experience and relevant certifications, contributing to the health of 28 million members.

Benefits

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 2+ years clinical or managed care experience required.
• 1+ year quality experience preferred.
• Registered Nurse or equivalent certification preferred.

Responsibilities

• Plans and monitors quality-related projects to meet strategic objectives.
• Creates quality risk assessments and develops processes for health plans.
• Utilizes Lean Six Sigma methodologies to identify problems.

Skills

Quality Improvement

Data Analysis

Lean Six Sigma

Clinical Experience

Education

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

Job description

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 Six Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics.

• Collaborate through ad hoc initiative requests and scorecard reviews 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:

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 skills, experience, education, and other job-related factors. Total compensation may include additional incentives.

Centene is an equal opportunity employer committed to diversity. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.

About the company

Centene Corporation is a publicly traded managed care company based in St.

Notice

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