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Quality Improvement Project Manager
Company | Centene Corporation |
Address | Tigard, OR, United States |
Employment type | FULL_TIME |
Salary | |
Category | Insurance,Hospitals and Health Care |
Expires | 2023-07-12 |
Posted at | 11 months ago |
You could be the one who changes everything for our 26 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.
- Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.
- Coordinate all data pulls and ongoing data management for HEDIS and QI project management databases for identified QI projects with department staff and corporate contacts. Evaluate sources for alternative data capture; assess ongoing methodology and results.
- Provide functional and technical knowledge for NCQA/HEDIS across all plan departmental staff and deliver educational sessions to internal staff and external constituents as needed.
- Coordinate Work Plan, team and resources for HEDIS/Consumer Assessment of Healthcare Providers and Systems (CAHPS) submission to Connector Authority and NCQA.
- Analyze data and develop presentations and materials for committee and articles for newsletters and other educational pieces.
- Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans.
- Coordinate and implement interventions to increase HEDIS, CAHPS and designated health measures for the Plan.
- Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, support HEDIS audit process, and facilitate project execution, deployment and closure.
- Adhere to NCQA standards and work with Corporate Director of Accreditation in maintaining Plan’s NCQA accreditation.
- Support the coordination of corporate compliance and external surveys as needed.
- Monitor the creation of all project deliverables to ensure adherence to standards including design documents, test plans and operations documentation.
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