Senior Quality Improvement Leader (Remote/Hybrid)

Centene Corporation; Des Moines (IA); 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 plus holidays

Flexible work arrangements

Job summary

Centene Corporation in Des Moines, IA seeks a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and clinical quality initiatives. You will lead multiple large-scale programs with cross-functional teams and state partners to achieve outcomes and ensure compliance.

The role emphasizes developing action plans, monitoring performance, and reporting to senior leadership. Strong project management, collaboration, and knowledge of regulatory requirements are essential for

Qualifications

• Bachelor’s Degree or equivalent experience with clinical license or MPH/MPA.
• Master’s Degree in related health field preferred.
• CPHQ certification preferred.
• Minimum three years in clinical/health care environment; managed care experience.
• Experience in compliance, accreditation, service or quality improvement.
• Complex project management experience; Medicare/NCQA experience preferred.

Responsibilities

• Coordinate regulatory, accreditation and clinical quality programs for health services.
• Lead multiple large-scale initiatives across national, regional and multi-plan levels.
• Develop and monitor measure-level action plans, interventions, reporting and financial impact.
• Coordinate with cross-functional teams, leadership and state partners.
• Develop internal reports and present progress to senior staff.
• Oversee vendor management and external provider collaborations.
• Improve Star Ratings, HEDIS, CAHPS, HOS and other performance measures.
• Create and maintain communications and program documentation.

Skills

Quality improvement

Regulatory compliance

Project management

Cross-functional collaboration

Education

Bachelor’s Degree or equivalent

Master’s Degree in health field

CPHQ certification

Tools

CPHQ

Job description

Centene Corporation in Des Moines, IA seeks a Senior Quality Improvement Specialist to coordinate regulatory, accreditation and clinical quality initiatives. You will lead multiple large-scale programs with cross-functional teams and state partners to achieve outcomes and ensure compliance.

The role emphasizes developing action plans, monitoring performance, and reporting to senior leadership. Strong project management, collaboration, and knowledge of regulatory requirements are essential for