Quality Program Strategist II - Remote in Florida

Centene Corporation; Florida; Hybrid; USD 70,000 - 126,000; Full time

Job summary

Centene Corporation seeks a seasoned quality improvement professional based in Florida to oversee HEDIS, CAHPS, and HOS strategy and related initiatives. You will analyze stakeholder needs, develop solutions, and drive end-to-end quality programs across multiple health plans.

The role requires strong data-analysis capabilities, cross-functional collaboration, and hands-on experience in managed care settings.

Qualifications

• Bachelor's degree in Nursing, Public Health, related field, or equivalent experience.
• Master's degree preferred.
• 4+ years of clinical experience, managed care or health insurance experience required; 2+ years of quality experience preferred.

Responsibilities

• Identify market trends and oversee quality improvement programs for HEDIS, CAHPS, and/or HOS strategy and related activities.
• Assist stakeholders to determine business issues and recommend solutions to drive business value.
• Analyze stakeholder issues, formulate hypotheses and test conclusions to determine appropriate solutions.
• Conduct evaluations to assist with HEDIS gap closure and assess for potential pilot programs and process improvements.
• Leverage data analysis to derive actionable insights and strategic recommendations for performance improvements.
• Collaborate with markets and key business stakeholders to drive continued measure performance.
• Develop resources and tools to foster gap closure and improve member/provider experience.
• Monitor compliance related to state reporting and HPMS memos for quality ratings.

Skills

HEDIS

CAHPS

HOS

Data analysis

Stakeholder collaboration

Quality improvement

Policy/compliance

Education

Bachelor's degree in Nursing or Public Health

Master's degree preferred

Job description

Centene Corporation seeks a seasoned quality improvement professional based in Florida to oversee HEDIS, CAHPS, and HOS strategy and related initiatives. You will analyze stakeholder needs, develop solutions, and drive end-to-end quality programs across multiple health plans.

The role requires strong data-analysis capabilities, cross-functional collaboration, and hands-on experience in managed care settings.