Manager, Quality Improvement – HEDIS
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Oklahoma • United States
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Salary
💰 $87,700 - $157,800 per year
About the role
- Oversee and manage the functions of the quality improvement program
- Provide support to staff and communicate with departments for daily quality improvement functions
- Review and analyze reports, records, and directives
- Confer with staff to obtain data such as new projects and problems encountered
- Verify data for government program requirements and ensure compliance
- Prepare reports for management on work function activities
- Evaluate current procedures and develop improved procedures
- Collaborate with appropriate departments for complaints and appeals resolution
- Monitor and analyze costs and participate in budget preparation
Requirements
- Bachelor’s degree in related field or equivalent experience
- 3+ years clinical, quality management or healthcare related experience
- 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care
- Current state registered nursing license preferred
- Certification in quality improvement, risk management, or another parallel field is a plus
- Certified Professional in Healthcare or other licensed clinical experience 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 & Tools
quality improvementdata analysisreport preparationprocedure evaluationbudget preparation
Soft Skills
communicationcollaborationsupervisoryproblem-solving
Certifications
state registered nursing licensecertification in quality improvementcertification in risk managementCertified Professional in Healthcare