Senior HEDIS Quality & Audit Lead — Remote
Centene Corporation
Turn this role into an interview — a resume and cover letter built around what this employer wants.
Benefits offered by this job
Job summary
Centene Corporation seeks a Senior HEDIS Quality & Audit Analyst to serve as an enterprise SME for advanced HEDIS quality oversight, audit readiness, and submission support. You will interpret regulatory requirements, lead NCQA audit workstreams, guide reporting and submission decisions, and drive continuous improvements for audit accuracy across the enterprise.
The role requires 4+ years in HEDIS/quality audits in regulated healthcare, with project management experience and strong collaboration
Qualifications
- Bachelor's degree in healthcare or related field, or equivalent
- 4+ years experience in HEDIS, quality audits, or regulated healthcare
- Project management experience in HEDIS/audit quality improvement
Responsibilities
- Lead complex NCQA audit workstreams and develop documentation
- Interpret federal/state regulatory requirements for HEDIS submissions
- Provide guidance on reporting population applicability and measure selection
- Drive audit readiness improvements and corrective actions
Skills
Education
Tools
Job description
Centene Corporation seeks a Senior HEDIS Quality & Audit Analyst to serve as an enterprise SME for advanced HEDIS quality oversight, audit readiness, and submission support. You will interpret regulatory requirements, lead NCQA audit workstreams, guide reporting and submission decisions, and drive continuous improvements for audit accuracy across the enterprise.
The role requires 4+ years in HEDIS/quality audits in regulated healthcare, with project management experience and strong collaboration
'/%3e%3cpath%20d='M101.744%2012.4726L102.894%2016.1947L99.0021%2013.2201L101.744%2012.4726ZM105.3%208.40937H100.488L99.0026%203.59473L97.5116%208.41047L92.7%208.40385L96.5965%2011.3834L95.1055%2016.1942L99.0021%2013.2196L101.408%2011.3834L105.3%208.40992V8.40937Z'%20fill='white'/%3e%3cdefs%3e%3clinearGradient%20id='paint0_linear_5593_1381'%20x1='90'%20y1='9.44471'%20x2='99'%20y2='9.44471'%20gradientUnits='userSpaceOnUse'%3e%3cstop%20stop-color='%2300AD70'/%3e%3cstop%20offset='0.998594'%20stop-color='%2300B67A'/%3e%3cstop%20offset='1'%20stop-color='%23DCDCE6'/%3e%3c/linearGradient%3e%3c/defs%3e%3c/svg%3e){kind=small}
