Remote Risk Adjustment & Quality Improvement Manager

Centene Corporation; United States; Hybride; USD 88 000 - 158 000; Plein temps

Avantages offerts par ce poste

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedule (remote, hybrid

Office or field work

Résumé du poste

Centene Corporation in the United States is seeking a program leader to manage the business processes related to risk adjustment and quality improvement across Centene’s assigned products and plans. Ideal candidates live in Pennsylvania and will develop and implement action plans across departments, addressing issues with detailed workplans and progress reports.

You will evaluate the risk adjustment strategy, support health plan initiatives, prepare dashboards for senior management, and identify

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 4+ years of project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry.
• Clinical or Social work experience preferred.
• Previous managed care or Medicare experience preferred.
• MLTSS experience is plus.

Responsabilités

• Develop and implement action plans, across all departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reports
• Identify and partner with various departments to implement assigned products business requirements
• Develop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamics
• Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products
• Identify and support health plan initiatives related to assigned products
• Prepare dashboards for senior management and identify improvement opportunities

Formation

Bachelor’s degree in related field or equivalent experience

Description du poste

Centene Corporation in the United States is seeking a program leader to manage the business processes related to risk adjustment and quality improvement across Centene’s assigned products and plans. Ideal candidates live in Pennsylvania and will develop and implement action plans across departments, addressing issues with detailed workplans and progress reports.

You will evaluate the risk adjustment strategy, support health plan initiatives, prepare dashboards for senior management, and identify