Remote Accreditation & Quality Improvement Specialist

Centene Corporation; United States; À distance; USD 56 000 - 101 000; Plein temps

Avantages offerts par ce poste

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote/hybrid/field or office work

Résumé du poste

Centene Corporation is seeking a Quality Improvement Specialist to develop and lead performance improvement initiatives focused on clinical quality and HEDIS outcomes. The role involves coordinating delegation oversight, maintaining accreditation readiness, and creating and updating policies to support NCQA/HEDIS activities.

The position requires a Bachelor's degree in Business or related field with 3+ years in quality improvement and NCQA/HEDIS experience, and offers a strong pathway to impact

Qualifications

• Bachelor's degree in Business, related field or equivalent experience.
• 3+ years of related quality improvement, HEDIS and/or NCQA experience.

Responsabilités

• Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.
• Develop and maintain accreditation readiness schedule.
• Creates policy and procedures to support accreditation activities.
• Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.
• Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.
• Coordinate assigned NCQA and HEDIS work plan activities.
• Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.

Connaissances

Quality improvement

NCQA

HEDIS

Policy development

Formation

Bachelor's degree in Business or related field

Description du poste

Centene Corporation is seeking a Quality Improvement Specialist to develop and lead performance improvement initiatives focused on clinical quality and HEDIS outcomes. The role involves coordinating delegation oversight, maintaining accreditation readiness, and creating and updating policies to support NCQA/HEDIS activities.

The position requires a Bachelor's degree in Business or related field with 3+ years in quality improvement and NCQA/HEDIS experience, and offers a strong pathway to impact