Overview
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.
REMOTE ROLE: Must reside in Arizona
Non clinical quality improvement specialist role will evaluate data provided in Excel format and write technical reports. State Contract, Medicaid knowledge preferred.
Position Purpose
Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.
Responsibilities
Heavy chart monitoring and auditing of medical records
Monitor the production of quality results reporting; analyze, track and trend the reporting results and report them to management
Formulate and prepare ad-hoc and additional reporting requirements
Recommend, develop, and implement quality improvement plans with management
Train providers and staff in methodologies and tools of continuous quality improvement
Prepare for and participate in meetings with State agencies, providers, and stakeholders
Perform audits on to meet state and internal requirements
Performs other duties as assigned
Complies with all policies and standards
Education/Experience
Education/Experience: Bachelor’s degree in related field or equivalent experience. Certified Professional in Healthcare Quality (CPHQ) preferred. 3+ years of related experience.
License/Certification
License/Certification: Valid driver’s license. Certified Professional in Health Care Quality (CPHQ) preferred.Pay Range: $55,100.00 - $99,000.00 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.
Equal Opportunity
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