Remote QI Specialist II - HEDIS & Data Analytics

Centene Management Company LLC; Arizona; Hybrid; USD 56,000 - 101,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Job summary

Centene Management Company LLC seeks a Quality Improvement Analyst to support data management, reporting, and project oversight within the QI department. This remote role requires residence in AZ or NV and a strong background in healthcare data projects.

You will lead data collection, analysis, and report generation for HEDIS initiatives, assist with audits, and help implement process improvements across teams while coordinating with nurses and vendors.

Qualifications

• Associate’s degree in related field or equivalent experience.
• 4+ years of data management experience within a health insurance organization.
• Working knowledge of MS Office applications; experience with quality initiatives (HEDIS/NCQA) preferred.

Responsibilities

• Assist in data collection, data entry and generation of reports in support of QI initiatives including access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies.
• Analyze data and report writing for committee discussion.
• Research and write items for provider newsletters and other educational pieces.
• Conduct interdepartmental inter-rater reliability audits.
• Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.
• Implement process improvements to streamline departmental functions.
• Assist Director, QI in preparation for audits by regulatory agencies and review organizations.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Data management

Report generation

Project management

HEDIS knowledge

MS Office

Education

Associate's degree in related field

Tools

MS Office

Job description

Centene Management Company LLC seeks a Quality Improvement Analyst to support data management, reporting, and project oversight within the QI department. This remote role requires residence in AZ or NV and a strong background in healthcare data projects.

You will lead data collection, analysis, and report generation for HEDIS initiatives, assist with audits, and help implement process improvements across teams while coordinating with nurses and vendors.