Director, Hedis Quality & Process Improvement

Centene

United States
Base: $118,400.00 - $219,000.00 py; bonus/equity: ...
Hybrid
End-to-end hedis audit management
Ncqa timeline oversight
Process mapping and design expertise
This Director will lead and direct process improvement initiatives to analyze current operations and design projects across all operational areas

Job Summary

  • This Director will lead and direct process improvement initiatives to analyze current operations and design projects across all operational areas.
  • The role is accountable for managing the end-to-end NCQA audit timeline and ensuring the organization successfully passes audits annually.
  • Centene offers competitive benefits including health insurance, 401K, stock purchase plans, and flexible remote work options anywhere in the United States.

Matching Summary

This Director will lead and direct process improvement initiatives to analyze current operations and design projects across all operational areas.

Salary

Base: $118,400.00 - $219,000.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • End-to-end HEDIS audit management
  • NCQA timeline oversight
  • Process mapping and design expertise
  • URAC and Joint Commission compliance
  • Quality assurance program administration

Nice-to-have

  • Healthcare industry experience preferred
  • Research methodologies knowledge
  • Workflow management software proficiency
  • Strong collaborative relationship building
  • New technological tool implementation

Key Requirements

  • Bachelor's Degree in related field
  • 6+ years of quality and process improvement experience
  • Deep experience leading HEDIS audits
  • Knowledge of research methodologies and measures
  • Experience with URAC and Joint Commission Accreditation

Work Rights

Not specified

Tailored Resume

Cover Letter