Supervisor, Quality Improvement

Centene; United States; Remote; USD 68,000 - 124,000; Full time

Job summary

Join a leading managed care company as a Quality Improvement Supervisor, overseeing a team to ensure quality assurance standards are met. This fully remote position offers a competitive salary and benefits, emphasizing the need for HEDIS experience and supervisory skills. Contribute to transforming healthcare for millions of members while providing leadership to improve performance and service levels.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 1-3 years of managed care experience required.
• 1-3 years of supervisory experience preferred.
• Knowledge of Managed Care and Health Insurance concepts.

Responsibilities

• Supervise Quality Improvement Associates to meet performance metrics.
• Analyze data and prepare reports with recommendations.
• Identify training needs and assist in retention management.

Skills

HEDIS Expertise

Data Analysis

Communication

Problem Solving

Customer Service

Education

AA/AS - Associates Degree or equivalent

Tools

Microsoft Office

HEDIS Measures Knowledge

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Experience with H EDIS on the Payor Side

Proficient in HEDIS medical record retrieval and abstraction

Subject Matter Expert (SME) in HEDIS measures

Fully remote – will work in CST hours.

Position Purpose: Supervise and monitor the performance of Quality Improvement Associates who support all Retention activities to ensure that members receive accurate information and that the standard operating procedures and quality assurance standards are met. Manage the production of the Quality Improvement Associates ensuring effective skill assessment of new and existing staff and to facilitate training to address the gaps identified. Research and use best practices to achieve effective project implementation and outcomes. Investigate exploitation of infrastructure tools to optimize productivity and performance. Collect, analyze, and summarize data to prepare reports and make recommendations.

• Supervise a team of Quality Improvement Associates to meet monthly audit performance metrics.
• Investigate exploitation of infrastructure tools to optimize productivity and performance.
• Follow organization standards to maintain quality service. Identify obstacles in the call handling process and effectively prevent, resolve and overcome those obstacles.
• Collect, analyze, and summarize data to prepare reports and make recommendations. Research and use best practices to achieve effective project implementation and outcomes.
• Identify the training needing to improve performance and provide assistance to Retention Management to ensure consistent levels of service.
• Strong knowledge of Managed Care and Health Insurance concepts and regulation.
• Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet.
• Knowledge of various quality programs, including measures associated with QARR and HEDIS.
• Ability to lead or coordinate projects within own department.
• Managing diverse staff; execute corporate function effectively; ability to communicate professionally and with cultural sensitivity.
• Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.
• Customer Service: Skilled to communicate with all levels of Management, internal and external customers.
• Ability to work well as a member of a team or alone.
• Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.

Education/Experience:

AA/AS - Associates Degree or equivalent required.

One to two years managed care experience required; knowledge of the industry and terminology.

One to three years Supervisory experience preferred.

One to two years related experience required.

Pay Range: $68,700.00 - $123,700.00 per year

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Experience with H EDIS on the Payor Side

Proficient in HEDIS medical record retrieval and abstraction

Subject Matter Expert (SME) in HEDIS measures

Fully remote – will work in CST hours.

Position Purpose: Supervise and monitor the performance of Quality Improvement Associates who support all Retention activities to ensure that members receive accurate information and that the standard operating procedures and quality assurance standards are met. Manage the production of the Quality Improvement Associates ensuring effective skill assessment of new and existing staff and to facilitate training to address the gaps identified. Research and use best practices to achieve effective project implementation and outcomes. Investigate exploitation of infrastructure tools to optimize productivity and performance. Collect, analyze, and summarize data to prepare reports and make recommendations.

• Supervise a team of Quality Improvement Associates to meet monthly audit performance metrics.
• Investigate exploitation of infrastructure tools to optimize productivity and performance.
• Follow organization standards to maintain quality service. Identify obstacles in the call handling process and effectively prevent, resolve and overcome those obstacles.
• Collect, analyze, and summarize data to prepare reports and make recommendations. Research and use best practices to achieve effective project implementation and outcomes.
• Identify the training needing to improve performance and provide assistance to Retention Management to ensure consistent levels of service.
• Strong knowledge of Managed Care and Health Insurance concepts and regulation.
• Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet.
• Knowledge of various quality programs, including measures associated with QARR and HEDIS.
• Ability to lead or coordinate projects within own department.
• Managing diverse staff; execute corporate function effectively; ability to communicate professionally and with cultural sensitivity.
• Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.
• Customer Service: Skilled to communicate with all levels of Management, internal and external customers.
• Ability to work well as a member of a team or alone.
• Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.

Education/Experience:

AA/AS - Associates Degree or equivalent required.

One to two years managed care experience required; knowledge of the industry and terminology.

One to three years Supervisory experience preferred.

One to two years related experience required.

Pay Range: $68,700.00 - $123,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law , including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

About the company

Centene Corporation is a publicly traded managed care company based in St.

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