Match score not available

Director, Quality Improvement

extra holidays - extra parental leave
Remote: 
Full Remote
Contract: 
Salary: 
114 - 211K yearly
Experience: 
Senior (5-10 years)
Work from: 

Offer summary

Qualifications:

Bachelor's degree in Nursing or equivalent experience, 7+ years in quality management or healthcare operations.

Key responsabilities:

  • Lead process improvement activities
  • Collaborate on NCQA Accreditation and HEDIS performance
Centene Corporation logo
Centene Corporation XLarge https://www.centene.com/
10001 Employees
See more Centene Corporation offers

Job description

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.
 

-Medicare STARS Quality expertise heavily preferred

-Remote opportunity

Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow.

Bachelor's degree in Nursing, related clinical degree or equivalent experience. 7+ years of quality management, quality improvement or healthcare operations experience. Masters’ degree preferred.

  • Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance
  • Responsible for quality improvement aspects of risk adjustment processes for all products
  • Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)
  • 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 and fosters team concept with internal and external constituencies
  • 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

  • Bachelor's degree in Nursing, related clinical degree or equivalent experience.
  • 7+ years of quality management, quality improvement or healthcare operations experience.
  • Masters’ degree preferred.

License/Certificates:

  • Certain states may require a formal certification in quality improvement, risk management, or another parallel field. Current state’s RN license preferred. Certified Professional in Health Care Quality preferred.
     

Pay Range: $113,800.00 - $210,500.00 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

Required profile

Experience

Level of experience: Senior (5-10 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Presentations
  • Research

Director of Global QA (Quality) Related jobs