Offer summary

Qualifications:

Associate’s degree in Nursing, Public Health, or related clinical field, or equivalent experience., 2+ years clinical experience or managed care is required., Health insurance experience is mandatory; 1+ year quality experience preferred., Registered Nurse, Licensed Practical Nurse, or similar certifications are preferred. .

Key responsibilities:

Plan, organize, and monitor quality-related projects to meet strategic objectives.

Analyze and research quality metrics and recommend improvements for health plan programs.

Utilize Lean 6 Sigma methodologies to identify and resolve potential quality issues.

Create and facilitate quality improvement training for health plans.

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.

Position Purpose: Plans, organizes, and monitors quality related projects to deliver defined requirements and meet company strategic objectives.

Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan programs, including the determination of the appropriate target population, health program design, marketing of the program, and data systems; recommend quality improvements to achieve goals, including updates to programs and processes

Create quality risk assessments and develop processes for health plans to achieve quality metrics

Utilize Lean 6 Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics

Collaborate through ad hoc initiative requests and scorecard review and to support initiative development and implementation

Create, maintain and facilitate quality improvement health plan training
Performs other duties as assigned

Complies with all policies and standards

***This position is fully remote. Ideal candidate will have experience working on HEDIS initiatives and strategies, located in eastern or central time zones.

Education/Experience: Associate’s degree in Nursing, Public Health, or related clinical field, or equivalent experience. 2+ years clinical experience or managed care. Health insurance experience required; 1+ year quality experience preferred.

License/Certification: Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker preferred; 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.

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

Required profile