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.
Position Purpose: Provide strategic leadership on quality improvement initiatives to ensure best-in-class quality improvement outcomes for all Centene health plans. Collaborate with internal and external stakeholders to ensure quality improvement initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members.
- Provide strategic direction and leadership for all business units in developing innovative initiatives to improve overall quality outcomes
- Research, identify, and implement best practices into operations in collaboration with all health plan and specialty company business units
- Organize and oversee activities, resources, methods, and procedures to achieve enterprise-wide quality improvement strategy
- Formulate and ensure compliance with policies, operating procedures, and goals in compliance with internal and external guidelines
- Review and implement new technological tools and processes and foster team concept with internal and external stakeholders
- Collaborate with all internal and external stakeholders in identifying, developing, and implementing innovative programs and initiatives to improve outcomes
- Present results and analysis of improvement efforts and ongoing performance measures to senior management
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Bachelor's degree in Nursing, Business Administration, or Health Care Administration. 8+ years of quality improvement experience. Healthcare operations management experience (medical management, provider relations, contracting, compliance, claims or member/provider services) preferred. Knowledge of NCQA and HEDIS technical specifications. Master’s degree preferred.
License/Certificates: Current state’s RN license preferred. Certified Professional in Health Care Quality preferred.
Pay Range: $142,300.00 - $263,500.00 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. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
