Director, Quality – Process Improvement
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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Salary
💰 $118,400 - $219,000 per year
Job Level
About the role
- Lead and direct process improvement initiatives by utilizing process improvement methodologies
- Manage the end-to-end NCQA audit timeline and ensure successful audit performance
- Oversee the administration, coordination and evaluation of quality assurance and training
- Direct the execution of performance improvement projects, including process mapping and process design
- Create and maintain dashboards, communications, and strategies to improve effectiveness
- Research and develop best practices, policies, procedures, and goals in compliance with guidelines
- Oversee data analysis and gathering processes to establish costs and benefits of process effectiveness
- Ensure compliance with URAC and Joint Commission Accreditation standards
- Review and implement new technological tools and processes
- Establish strong collaborative relationships with all functional units and their leaders
Requirements
- Bachelors Degree in related field
- 6+ years of quality and process improvement experience
- Healthcare industry experience preferred
- Knowledge of research methodologies including measures and outcomes
- Knowledge of process mapping, process design, and workflow management software and applications
- URAC and Joint Commission Accreditation experience preferred
- Deep experience leading end-to-end HEDIS audits and managing NCQA timelines highly preferred
- Six Sigma/LEAN Certification preferred
Benefits
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Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
process improvement methodologiesprocess mappingprocess designdata analysisworkflow management softwareHEDIS auditsNCQA audit managementquality assuranceperformance improvement projectsbest practices development
Soft Skills
leadershipcollaborationcommunicationorganizational skillsstrategic thinkingevaluationcoordinationrelationship buildingresearch skillseffectiveness improvement
Certifications
Six Sigma CertificationLEAN Certification