Remote Senior Quality Improvement Specialist | HEDIS/NCQA

Centene Corporation; Texas; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and quality programs. The role leads large-scale initiatives across national/regional plans and ensures compliance with standards. You will train teams, track performance, and communicate results to executives.

Qualifications include a Bachelor's with clinical license or a related Master's, plus 3+ years in health care. Certification (CPHQ) preferred; Medicare/NCQA experience beneficial.

Qualifications

• Bachelor's degree with clinical license or advanced health degree.
• CPHQ certification is preferred but not mandatory.
• 3+ years in a clinical/healthcare setting with quality focus.

Responsibilities

• Coordinate regulatory, accreditation, and quality-improvement programs.
• Lead multiple complex initiatives affecting care quality and outcomes.
• Develop reports and present progress to senior staff.
• Oversee vendor activities and cross-functional collaboration.

Skills

Clinical knowledge

Regulatory knowledge

Project management

Education

Bachelor's degree or equivalent with clinical license

Master's in health field (MPH/MPA) or related

CPHQ certification preferred

Job description

Centene Corporation is seeking a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and quality programs. The role leads large-scale initiatives across national/regional plans and ensures compliance with standards. You will train teams, track performance, and communicate results to executives.

Qualifications include a Bachelor's with clinical license or a related Master's, plus 3+ years in health care. Certification (CPHQ) preferred; Medicare/NCQA experience beneficial.