Quality Practice Advisor Houston

Centene

Houston, Texas, United States
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Hedis record collection experience
Risk adjustment coding expertise
Ncqa compliance knowledge
The role focuses on establishing healthy working relationships between large physician practices, IPAs, and Centene to improve community health

Job Summary

  • The role focuses on establishing healthy working relationships between large physician practices, IPAs, and Centene to improve community health.
  • Candidates will educate providers on NCQA HEDIS measures, risk adjustment, and appropriate medical record documentation to ensure state and federal compliance.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, stock purchase plans, and flexible work schedules.

Matching Summary

The role focuses on establishing healthy working relationships between large physician practices, IPAs, and Centene to improve community health.

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 record collection experience
  • Risk adjustment coding expertise
  • NCQA compliance knowledge
  • Medical record documentation skills
  • Provider practice relationship management

Nice-to-have

  • Strong analytical and data trend skills
  • Ability to travel up to 75% of time
  • Experience with ICD-9/10 CPT coding
  • Collaborative provider relations approach

Key Requirements

  • Bachelor's Degree required
  • 3+ years in HEDIS record collection and risk adjustment
  • Required license/certification: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS
  • Must reside in Texas with preference for Houston area
  • Authorized to work in the U.S. without visa sponsorship

Work Rights

Must be authorized to work in the U.S.

Tailored Resume

Cover Letter