Healthcare Quality Improvement Specialist

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: Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.

• Train providers and staff in methodologies and tools of continuous quality improvement
• Prepare for and participate in meetings with State agencies, providers, and stakeholders
• Recommend, develop, and implement quality improvement plans with management
• Monitor the production of quality results reporting; analyze, track and trend the reporting results and report them to management
• Heavy chart monitoring and auditing of medical records
• Formulate and prepare ad-hoc and additional reporting requirements
• Perform audits on to meet state and internal requirements

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: Valid driver’s license. Certified Professional in Health Care Quality (CPHQ) preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.