Quality Practice Advisor

Centene

Sioux City, Iowa, US
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Hedis measures education
Risk adjustment coding expertise
Medical record documentation standards
Centene is seeking a Quality Practice Advisor to enhance relationships with healthcare providers while educating them on HEDIS measures and ensuring compliance with quality standards. The position requires a bachelor's degree, relevant experience in HEDIS record collection and risk adjustment, and offers a hybrid work environment with significant local travel

Job Summary

  • This role establishes healthy working relationships between large physician practices, IPAs, and Centene to improve community health.
  • Candidates must educate providers on NCQA HEDIS measures, risk adjustment, and appropriate medical record documentation while traveling up to 75% of the time.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and flexible work schedules for this position.

Matching Summary

Match Score: 85

Centene is seeking a Quality Practice Advisor to enhance relationships with healthcare providers while educating them on HEDIS measures and ensuring compliance with quality standards. The position requires a bachelor's degree, relevant experience in HEDIS record collection and risk adjustment, and offers a hybrid work environment with significant local travel.

Salary

Base: $27.02 - $48.55 per hour; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • HEDIS measures education
  • Risk adjustment coding expertise
  • Medical record documentation standards
  • Provider practice site support
  • Quality improvement interventions

Nice-to-have

  • Strong provider relationship building
  • Data trend analysis skills
  • Flexible remote work environment
  • Collaborative team approach

Key Requirements

  • Bachelor's Degree required
  • 3+ years in HEDIS record collection
  • Iowa nursing license strongly preferred
  • Required certifications: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS

Work Rights

Not specified

Tailored Resume

Cover Letter