Centene Corporation · 13 hours ago
Director, Quality Improvement
United States
Full-time
Remote
Director/Executive
$118K/yr - $219K/yr
7+ years expCentene Corporation is transforming the health of communities by focusing on individual member needs. The Director of Quality Improvement will lead process improvement activities, oversee quality management efforts, and collaborate with various teams to enhance healthcare performance metrics.
Hospital & Health Care
Responsibilities
Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance
Responsible for quality improvement aspects of risk adjustment processes for all products
Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)
Oversee provider satisfaction surveys and implement action plans for improvements
Research and incorporate best practices into operations
Organize and control activities, methods, and procedures to achieve business objectives
Review and implement new technological tools and processes and fosters team concept with internal and external constituencies
Present results of improvement efforts and ongoing performance measures to senior management
Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines
Performs other duties as assigned
Complies with all policies and standards
Qualification
Required
Bachelor's Degree Nursing, other related field or equivalent experience required
7+ years of quality management, quality improvement or healthcare operations experience required
Preferred
Master's Degree preferred
Prior experience in these functions is highly preferred
Certified Professional In Health Care Quality Preferred
Benefits
Health insurance
401K
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Company
Centene Corporation
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
10001+ employees
H1B Sponsorship
Centene Corporation has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2021 (1)
Funding
Current Stage
Late StageLeadership Team
Beth Johnson
President and CEO, Coordinated Care
Clyde White
President & CEO (New Hampshire Healthy Families)
Recent News
Business Journals
2024-05-06
FierceHealthcare
2024-04-28
Company data provided by crunchbase