Remote HEDIS & Quality Improvement Specialist

Centene Corporation; Arizona; Hybrid; USD 56,000 - 101,000; Full time

Job summary

Centene Corporation is seeking a Quality Improvement support specialist to assist with data management, reporting, and project management within the QI department. This is a remote position with residency required in Arizona or Nevada.

The role involves managing HEDIS projects, supporting data collection and analysis, and preparing reports for committee discussions. It also covers developing provider newsletters and audits preparation.

Qualifications

• Associate’s degree or equivalent required.
• At least 4 years of data management experience in a health insurance setting.
• Experience with data reporting, MS Office, and quality initiatives (HEDIS/NCQA) preferred.

Responsibilities

• Manage the HEDIS project, assign nurses, and oversee vendors for timeliness and quality.
• Collect data, enter data, and generate reports to support QI initiatives.
• Analyze data and prepare reports for committee discussions.
• Prepare provider newsletters and educational materials.
• Conduct inter-rater reliability audits across departments.
• Design and manage data review processes to ensure accuracy and regulatory compliance.
• Implement process improvements to streamline departmental functions.
• Assist the Director, QI, in audits and inspections.
• Perform other duties as assigned.
• Comply with all policies and standards.

Skills

Data management

MS Office

HEDIS knowledge

Report writing

Education

Associate’s degree or equivalent

Job description

Centene Corporation is seeking a Quality Improvement support specialist to assist with data management, reporting, and project management within the QI department. This is a remote position with residency required in Arizona or Nevada.

The role involves managing HEDIS projects, supporting data collection and analysis, and preparing reports for committee discussions. It also covers developing provider newsletters and audits preparation.