Centene Corporation · 2 days ago

Director, Quality Improvement

Missouri, United States

Full-time

Remote

Director/Executive

$114K/yr - $210K/yr

7+ years exp

Maximize your interview chances

Hospital & Health Care

Actively Hiring

Insider Connection @Centene Corporation

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

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

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medicare STARS Quality expertiseQuality management experienceQuality improvement experienceHealthcare operations experienceNCQA AccreditationHEDIS performanceRisk adjustment processesDegree in NursingMasters’ degreeRN licenseCertified Professional in Health Care Quality