Remote Lead VBC Quality Strategist

Centene Corporation; United States; Hybrid; USD 130,000 - 170,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K

Tuition reimbursement

Paid time off

Flexible work options

Job summary

Centene Corporation seeks a Lead VBC Quality Consultant to act as a strategic quality advisor for a portfolio of Value-Based Care organizations. You will analyze performance, identify opportunities, and develop quality strategies to improve Medicare Stars and related measures, partnering with internal teams and external providers.

Responsibilities include setting annual priorities, monitoring results, and coordinating execution across multiple accounts, with expertise in CMS Stars, HEDIS, CAHPS,

Qualifications

• Bachelor’s degree in Nursing, Public Health, Healthcare Administration, Business Administration, or related field.
• 5+ years of experience in Medicare quality improvement or related work.
• Experience analyzing healthcare performance data and turning findings into strategies.
• Strong knowledge of CMS Medicare Stars and NCQA HEDIS specifications.

Responsibilities

• Manage a portfolio of 8–10 VBC organizations as the primary national quality contact.
• Establish quality priorities based on contract goals and performance trends.
• Develop partner-specific quality strategies with milestones and accountability.
• Track performance against Medicare Stars, HEDIS, CAHPS and other goals.
• Analyze data to identify performance drivers and gaps across markets.
• Translate findings into focused initiatives to improve care and experience.
• Lead cross-functional workgroups to address barriers and data issues.
• Support forecasting, reporting, and prioritization of high-impact measures.

Skills

Medicare quality improvement

Data analytics

Strategic quality advisor

Education

Bachelor’s degree in Nursing or related field

Master’s degree preferred

Tools

Power BI

PowerPoint

Job description

Centene Corporation seeks a Lead VBC Quality Consultant to act as a strategic quality advisor for a portfolio of Value-Based Care organizations. You will analyze performance, identify opportunities, and develop quality strategies to improve Medicare Stars and related measures, partnering with internal teams and external providers.

Responsibilities include setting annual priorities, monitoring results, and coordinating execution across multiple accounts, with expertise in CMS Stars, HEDIS, CAHPS,