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Director, Provider Quality
Centene CorporationDirector of Provider Quality leading quality management and improvement initiatives for Centene's healthcare operations. Collaborating with providers and health systems to enhance quality and efficiency in healthcare services.
About the role
Key responsibilities & impact- Lead and direct process improvement activities that provide more efficient and streamlined workflow
- Responsible for leading and collaborating with others on NCQA Accreditation and/or HEDIS performance
- Responsible for quality improvement aspects of risk adjustment processes for all products
- Collaborate with Medicare STARS team to improve overall STARS ratings
- Oversee provider satisfaction surveys and implement action plans for improvements
- Research and incorporate best practices into operations
- Organize and control activities, methods, and procedures to achieve business objectives
- Review and implement new technological tools and processes
- Present results of improvement efforts and ongoing performance measures to senior management
- Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines
Requirements
What you’ll need- Bachelor's Degree Nursing, other related field or equivalent experience required
- Master's Degree preferred
- 7+ years of quality management, quality improvement or healthcare operations experience required
- Certified Professional in Health Care Quality preferred
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Quality ImprovementHealthcare OperationsData AnalysisPolicy FormulationPerformance Measurement
Soft Skills
CollaborationLeadershipCommunicationOrganizational Skills
Certifications
Certified Professional in Health Care Quality