Remote Quality Improvement Strategist: HEDIS & CAHPS

Centene Corporation; New York (NY); Remote; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K plan

Stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote/hybrid/office work options

Job summary

Centene Corporation is hiring for a remote Quality Improvement role focused on HEDIS, CAHPS, and HOS strategies. The position aligns with EST and emphasizes data-driven evaluation, stakeholder collaboration, and ongoing program enhancements.

Ideal candidates hold a nursing or public health background with 4+ years in clinical or managed care settings, and a preference for CPHQ certification. The role offers comprehensive benefits and flexible remote work options.

Qualifications

• Bachelor’s degree in Nursing, Public Health, related field, or equivalent experience.
• 4+ years of clinical experience, managed care or health insurance experience required; 2+ years of quality experience preferred.
• CPHQ preferred; RN/licensed professions considered advantageous.

Responsibilities

• Identify market trends and oversee quality improvement programs for HEDIS, CAHPS, and HOS strategies.
• Assess end-to-end measure performance and potential pilot programs or process improvements to meet quality goals.
• Leverage data analysis to derive actionable insights and strategic recommendations for performance improvements.
• Collaborate with markets and stakeholders to drive measure performance and provide support resources for QA teams.
• Create training materials and ensure compliance with state reporting and HPMS memos.

Skills

HEDIS

CAHPS

HOS

Data analysis

Education

Bachelor’s degree in Nursing/Public Health

Master’s degree preferred

Job description

Centene Corporation is hiring for a remote Quality Improvement role focused on HEDIS, CAHPS, and HOS strategies. The position aligns with EST and emphasizes data-driven evaluation, stakeholder collaboration, and ongoing program enhancements.

Ideal candidates hold a nursing or public health background with 4+ years in clinical or managed care settings, and a preference for CPHQ certification. The role offers comprehensive benefits and flexible remote work options.