Strategic Healthcare Quality Programs Lead

Centene Corporation; Topeka (KS); Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401K plan

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is seeking a Program Development Manager within the Quality area to lead and implement clinical and administrative quality initiatives. You will guide cross-functional teams across Health Services, Quality Analytics, and Operations to enhance standard processes and decision support systems.

The role requires a Bachelor's degree, 5+ years of program management experience in healthcare, and 2+ years in quality program design (STARS, CAHPS, HEDIS).

Qualifications

• Bachelor's degree in a related field.
• Minimum 5+ years of experience in direct program development, program management or project management, preferably in healthcare.
• Minimum 3+ years in managed care including utilization management, care coordination, disease management, Medicare/Medicaid, DSNP, dual eligibles, PCMH.
• Minimum 2+ years designing and implementing quality programs across settings including STARS, CAHPS, HEDIS, with population/service mix considerations.

Responsibilities

• Oversees creation and implementation of programs aligned with quality initiatives.
• Designs and facilitates development of programs, workflows, and integration efforts within regulatory and quality requirements.
• Leads major projects including root cause analysis, deadlines, and progress summaries.
• Partners with Quality Analytics and Improvement Teams to determine data needs and develop tools/reports.
• Supports initiatives to improve patient quality of care and ensures policy compliance.

Skills

Program management

Cross-functional collaboration

Healthcare quality

Root cause analysis

Project governance

Education

Bachelor's degree in related field

Master's degree preferred (MBA/MHA/MPH/MSN)

Tools

Six Sigma Certification

Lean Certification

CPHQ

Job description

Centene Corporation is seeking a Program Development Manager within the Quality area to lead and implement clinical and administrative quality initiatives. You will guide cross-functional teams across Health Services, Quality Analytics, and Operations to enhance standard processes and decision support systems.

The role requires a Bachelor's degree, 5+ years of program management experience in healthcare, and 2+ years in quality program design (STARS, CAHPS, HEDIS).