Centene Corporation · 1 day ago

Quality Improvement Specialist II

Texas, United States

Full-time

Remote

Mid Level

$54K/yr - $97K/yr

4+ 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

Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality

Assist in data collection, data entry and generation of reports in support of QI initiatives including but not limited to access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies

Analyze data and report writing for committee discussion

Research and write items for provider newsletters and other educational pieces

Conduct Interdepartmental inter-rater reliability audits

Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.

Implement process improvements to streamline departmental functions

Assists Director, QI in preparation for audits by regulatory agencies and review organizations

Performs other duties as assigned

Complies with all policies and standards

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.

Data managementHEDIS projectProject managementReport generationMS Office applicationsQuality initiativesData analysisInterdepartmental auditsRegulatory complianceProcess improvementsResearch writing