Clinical Documentation Specialist, Remote
Trinity Health
Senior Director, Quality Improvement
Centene Corporation
full-time
Posted on:
Origin: • 🇺🇸 United States • New York
Visit company websiteSalary
💰 $145,100 - $268,800 per year
Job Level
Senior
About the role
- Provide strategic leadership on quality improvement initiatives to ensure best-in-class quality improvement outcomes for all Centene health plans. Collaborate with internal and external stakeholders to ensure quality improvement initiatives are fully integrated throughout the organization. Provide strategic direction and leadership for all business units in developing innovative initiatives to improve overall quality outcomes. Research, identify, and implement best practices into operations in collaboration with all health plan and specialty company business units. Organize and oversee activities, resources, methods, and procedures to achieve enterprise-wide quality improvement strategy. Formulate and ensure compliance with policies, operating procedures, and goals in compliance with internal and external guidelines. Review and implement new technological tools and processes and foster team concept with internal and external stakeholders. Collaborate with all internal and external stakeholders in identifying, developing, and implementing innovative programs and initiatives to improve outcomes. Present results and analysis of improvement efforts and ongoing performance measures to senior management. Performs other duties as assigned. Complies with all policies and standards.
Requirements
- Bachelor's degree in Nursing, Business Administration, or Health Care Administration. 8+ years of quality improvement experience. Healthcare operations management experience (medical management, provider relations, contracting, compliance, claims or member/provider services) preferred. Knowledge of NCQA and HEDIS technical specifications. Master’s degree preferred. Current state’s RN license preferred. Certified Professional in Health Care Quality preferred.
