Remote Quality Improvement Coordinator II (Clinical)

Centene Corporation; United States; Remote; USD 46,000 - 84,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work arrangements (remote,hyb

Flexible work arrangements (remote,hyb

Job summary

Centene Corporation seeks a Quality Improvement Specialist to coordinate and monitor quality initiatives across corporate and plan levels. The role supports NCQA/URAC standards, policy development, and data-driven program enhancements.

Ideal candidates have nursing or related medical background and 3+ years clinical experience with 1+ year in quality functions. RN/LPN/LVN licensure is preferred. Pay range listed reflects hourly compensation and requires compliance with regulatory standards.

Qualifications

• Hands on experience with writing and implementing policies and procedures to support NCQA/URAC or JCAHO accreditation standards preferred.
• Basic understanding of health insurance business, claims payment procedures, strategies and trends in health care preferred.

Responsibilities

• Coordinate and monitor quality improvement and organizational projects from inception to closure.
• Work with Director of Accreditation to assist with Plan compliance to NCQA/URAC standards.
• Maintain Quality Improvement policies and procedures in compliance with NCQA/URAC requirements and recommend changes/enhancements as indicated.
• Identify best practices, research new processes and recommend overall program enhancements.
• Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources and facilitate project execution, deployment and closure.
• Assist with collection and presentation of data for identified QI projects; identifying sources, methodology and timeliness for which data is needed.
• Performs other duties as assigned
• Complies with all policies and standards

Skills

Policy writing

Policy implementation

NCQA/URAC knowledge

Quality improvement

Data collection and analysis

Education

Bachelor’s degree in Nursing or related medical field

Job description

Centene Corporation seeks a Quality Improvement Specialist to coordinate and monitor quality initiatives across corporate and plan levels. The role supports NCQA/URAC standards, policy development, and data-driven program enhancements.

Ideal candidates have nursing or related medical background and 3+ years clinical experience with 1+ year in quality functions. RN/LPN/LVN licensure is preferred. Pay range listed reflects hourly compensation and requires compliance with regulatory standards.