Quality Improvement Specialist Non Clinical

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

REMOTE ROLE : Must reside in Arizona

Non clinical quality improvement specialist role will evaluate data provided in Excel format and write technical reports. State Contract, Medicaid knowledge preferred.

Position Purpose : Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.

• Heavy chart monitoring and auditing of medical records
• Monitor the production of quality results reporting; analyze, track and trend the reporting results and report them to management
• Formulate and prepare ad-hoc and additional reporting requirements
• Recommend, develop, and implement quality improvement plans with management
• Train providers and staff in methodologies and tools of continuous quality improvement
• Prepare for and participate in meetings with State agencies, providers, and stakeholders
• Perform audits on to meet state and internal requirements
• Performs other duties as assigned
• Complies with all policies and standards

Education / Experience : Bachelor’s degree in related field or equivalent experience. Certified Professional in Healthcare Quality (CPHQ) preferred. 3+ years of related experience.

License / Certification : Valid driver’s license. Certified Professional in Health Care Quality (CPHQ) preferred.Pay Range : $55,100.00 - $99,000.00 per year

Centene offers a comprehensive benefits package including : competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.