Quality Practice Advisor

Centene Corporation

Quality Practice Advisor educating Centene’s physician practices on HEDIS, documentation, and risk adjustment. Coaching providers and closing quality gaps through data analysis, audits, and field visits.

Posted 9/1/2026full-timeIndianapolis • 🇺🇸 United StatesMid-LevelSenior💰 $27 - $49 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in HEDIS measures, risk adjustment, and medical record documentation, while effectively educating and collaborating with provider practices to enhance quality and compliance. Proven ability to analyze performance data and implement quality improvement interventions.

Highest-signal resume keywords

HEDIS Record CollectionRisk Adjustment CodingNCQA HEDIS MeasuresICD-9/10 CPT CodingQuality Improvement Interventions

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

HEDIS Record CollectionRisk Adjustment CodingICD-9/10 CPT CodingMedical Record DocumentationData AnalysisQuality KPI MaintenanceProvider EducationDocumentation GuidelinesGap-Closure StrategiesProvider Audits

Soft Skills

Relationship BuildingCollaborationCoachingCommunicationProblem Solving

Certifications & Qualifications

CCSLPNLCSWLMHCLMSWLMFTLVNRNAPRNHCQM

Industry Keywords

HEDISNCQAManaged Health ServicesQuality ImprovementRisk AdjustmentProvider RelationsCompliance StandardsDocumentation StandardsHealthcare QualityProvider Practices

About the role

Key responsibilities & impact

Establish and foster healthy working relationships between large physician practices, IPAs and Centene
Educate providers and support provider practice sites regarding NCQA HEDIS measures and risk adjustment
Provide education on HEDIS measures, medical record documentation, and appropriate coding
Assist in resolving deficiencies affecting plan compliance with State and Federal HEDIS and documentation standards
Serve as a resource for health plan peers on HEDIS measures, documentation, and coding
Support development and implementation of quality improvement interventions and provider-related audits
Deliver advice and education to provider practices and IPAs on HEDIS measures, documentation guidelines, and HEDIS ICD-9/10 CPT coding
Collect, summarize, trend, and deliver provider quality and risk adjustment performance data
Identify and strategize or coach on provider improvement and gap-closure opportunities
Collaborate with Provider Relations and other provider-facing teams to improve performance in Quality, Risk Adjustment, and Operations
Identify practice needs where Centene can provide support
Develop, enhance, and maintain provider clinical relationships across product lines
Maintain Quality KPIs and HEDIS abstraction accuracy rates according to corporate standards
Travel to provider offices up to 75% of the time
Comply with policies and standards and perform other assigned duties

Requirements

What you’ll need

Bachelor's Degree or equivalent required
3+ years in HEDIS record collection and risk adjustment (coding) required
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS
For Managed Health Services - IN, no license/certification is required
Reliable transportation required
Valid driver's license and insurance required
Must be local to the Indianapolis, IN area
Willingness to travel up to 75% of the time
Knowledge of NCQA HEDIS measures, risk adjustment, medical record documentation, and ICD-9/10 CPT coding

Benefits

Comp & perks

Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation