Supervisor, Quality Member Engagement

Centene

California, US
$70,100.00 - $126,200.00 py; not specified; compre...
Hybrid
Quality review of department processes
Supervise quality care member advocates
Identify and close care gaps
Centene is transforming the health of our communities, one person at a time, with access to competitive benefits and workplace flexibility

Job Summary

  • Centene is transforming the health of our communities, one person at a time, with access to competitive benefits and workplace flexibility.
  • Oversee the day-to-day quality review function, ensuring accurate and timely review of department processes to ensure compliance with applicable state, federal and accrediting body requirements.
  • Supervise and monitor the performance of Quality Care Member Advocates who support focusing on improving health outcomes by identifying and closing care gaps.

Matching Summary

Centene is transforming the health of our communities, one person at a time, with access to competitive benefits and workplace flexibility.

Salary

$70,100.00 - $126,200.00 per year; Not specified; Comprehensive benefits package

Skills & Requirements

Must-have

  • Quality review of department processes
  • Supervise Quality Care Member Advocates
  • Identify and close care gaps
  • Community events for HEDIS closure
  • Prepare state, federal, accrediting body reports
  • Analyze team performance trends
  • Conduct clinical and non-clinical audits

Nice-to-have

  • Bilingual in Spanish or Chinese
  • Fresh perspective on workplace flexibility
  • Diversity and inclusion values

Key Requirements

  • Bachelor's Degree or equivalent experience
  • 5+ years Clinical or care coordination experience
  • 1+ years Supervisory or team-lead experience
  • 1+ years Related experience in care management
  • Must be authorized to work in the U.S.
  • Reside in California (San Diego, San Bernardino, Los Angeles, Kern, Tulare, or Fresno County)

Work Rights

Authorized to work in the U.S.

Tailored Resume

Cover Letter