Quality Improvement Specialist (hedis)

Centene

Remote, Kentucky, US
$56,200.00 - $101,000.00 py; not specified; not sp...
Hybrid
Hedis hybrid operations support
Clinical aspect of medical record review
Monitor contractual quality indicators
Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations

Job Summary

  • Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations.
  • Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes.
  • 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.

Matching Summary

Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations.

Salary

$56,200.00 - $101,000.00 per year; Not specified; Not specified

Skills & Requirements

Must-have

  • HEDIS Hybrid Operations support
  • clinical aspect of medical record review
  • monitor contractual quality indicators
  • analyze track and trend results
  • quality performance improvement plans

Nice-to-have

  • fresh perspective on workplace flexibility
  • competitive benefits package
  • diversity and inclusion values

Key Requirements

  • Bachelor’s degree in Nursing, Healthcare, or Quality
  • equivalent experience in related healthcare
  • Valid state clinical license preferred
  • Experience in HEDIS or NCQA or related topics
  • Candidate must reside in KY, IN, or OH

Work Rights

Not specified

Tailored Resume

Cover Letter