Quality Program Strategist II

Centene
New Mexico, Georgia, Connecticut, Florida, New Jersey, Missouri, Texas, Kentucky
Workplace: RemoteFull timeUSD 70,100 - 126,200 annuallyFunction: Quality & Regulatory (Non-Software)Experience: 4+ yearsEducation: bachelorsSkills: ["Data analysis","Collaboration","Training facilitation","Problem-solving"]

Identify market trends and oversee quality improvement programs for HEDIS, CAHPS, and/or HOS. Evaluate measure performance, conduct end-to-end assessments of technical specifications and stakeholder needs, and use data analysis to deliver actionable recommendations. Support markets and stakeholders to improve measure performance, develop HEDIS/CAHPS/HOS resources and training, and monitor compliance for state reporting and related memos to achieve sustainable quality results.

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FursaFursa
Centene
Centene
3 days ago

Quality Program Strategist II

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Last checked: 4 hours agoStatus: Live

Job Summary

Identify market trends and oversee quality improvement programs for HEDIS, CAHPS, and/or HOS. Evaluate measure performance, conduct end-to-end assessments of technical specifications and stakeholder needs, and use data analysis to deliver actionable recommendations. Support markets and stakeholders to improve measure performance, develop HEDIS/CAHPS/HOS resources and training, and monitor compliance for state reporting and related memos to achieve sustainable quality results.
Location: New Mexico, Georgia, Connecticut, Florida, New Jersey, Missouri, Texas, Kentucky
Workplace: Remote
Employment Type: Full time
Job Function: Quality & Regulatory (Non-Software)
Seniority: Mid level

Key Responsibilities

  • •Identify market trends and oversee quality improvement program functions for HEDIS, CAHPS, and/or HOS.
  • •Conduct evaluations to support HEDIS gap closure and assess performance trends and potential pilot programs/process improvements.
  • •Leverage data analysis to produce actionable insights and strategic recommendations for performance improvements.
  • •Collaborate with and support markets and key business stakeholders to drive continued measure performance.
  • •Develop and maintain support resources/tools and training for Quality Improvement Health Plan staff; monitor compliance for state reporting and related memos.

Pay and Benefits

Salary: USD 70,100 - 126,200 annually
Perks:Health Insurance401kEquityPaid LeaveRemote Work

Key Requirements

  • •Bachelor’s degree in Nursing, Public Health, or related field, or equivalent experience.
  • •4+ years of clinical experience and managed care or health insurance experience required.
  • •2+ years of quality experience preferred.
  • •Registered Nurse (RN), Licensed Practical Nurse, Licensed Vocational Nurse, or Licensed Clinical Social Worker (LCSW) preferred.
  • •CPHQ preferred.
Experience:4+ yearsHealthcareHealth insuranceManaged care
Education:Bachelor's in Nursing, Public Health, or related field
Skills:Data analysisCollaborationTraining facilitationProblem-solving
Licenses:Registered Nurse (RN)Licensed Practical NurseLicensed Vocational NurseLicensed Clinical Social Worker (LCSW)
Certifications:CPHQ

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn