Behavior Consultant ABA
Clarvida
Clinical Product Specialist
Centene Corporation
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $68,700 - $123,700 per year
Job Level
Mid-LevelSenior
About the role
- Support Medicaid and CHIP product quality performance and compliance
- Analyze quality and product data and plan for legislative/policy changes
- Engage with internal stakeholders and state agencies on clinical outcomes and reporting
- Participate in Utilization Review including clinical chart audits and mitigation implementation
- Serve as SME for assigned products and drive operational aspects
- Monitor operational performance, identify trends and root causes, and implement resolutions
- Create reports and business review presentations for leadership and external agencies
- Manage projects and collaborate to execute business objectives
- Ensure member communications are accurate and implemented
- Participate in product strategic planning activities
Requirements
- Associate's degree in Nursing, or within Health Care with 3 years preferred in Managed Care and Quality experience
- Experience with data analytics and reporting
- Required license/certificates: RN, NP, LPC, LSW, ST, PT, or OT
- Ability to travel at minimum 10% for team meetings
- Experience in Quality Performance Oversight, analysis, developing initiatives, and stakeholder engagement
