Process Improvement Specialist – Clinical
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Louisiana • 🇺🇸 United States
Visit company websiteSalary
💰 $68,700 - $123,700 per year
Job Level
Mid-LevelSenior
About the role
- Plan, develop and track process improvement and operational projects related to clinical outcomes for products
- Serve as the primary subject matter expert for clinical health outcomes
- Review of all clinical member materials, including service coordination brochures, handbook references, and educational leaflets
- Serve as a liaison for all clinical initiatives including case and disease management, behavioral health and HEDIS outcome measures
- Evaluate the analysis and responses on all quality measures including performance development and reporting, and provide recommendations
- Review member survey results from internal as well as external sources for implications to operations and make recommendations for process improvements accordingly
- Collaborate with analytics team on identified process improvement reporting and scheduling
Requirements
- Bachelor’s degree in Healthcare, related field, or equivalent experience
- 5+ years of process improvement experience, preferably in a managed care environment
- Experience in project coordination preferred
- Current state’s RN, or LCSW. Drivers license preferred
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
process improvementproject coordinationclinical outcomes analysisquality measures evaluationperformance developmentreportingdata analysis
Soft skills
collaborationcommunicationrecommendation developmentliaison skills
Certifications
RNLCSW