Centene Corporation Logo

Centene Corporation

Manager, Quality Improvement.

Posted 6 Days Ago
Be an Early Applicant
Remote
6 Locations
86K-155K Annually
Mid level
Remote
6 Locations
86K-155K Annually
Mid level
Oversee quality improvement programs, managing HEDIS reporting and ensuring compliance. Analyze data, prepare reports, and evaluate procedures for improvement.
The summary above was generated by AI

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

The candidate should have strong skills in quality improvement, data analysis, project management, communication, stakeholder management and compliance expertise. Candidate should reside in New York State and will be required to attend in-person meetings multiple times throughout the year. 

Position Purpose: Oversee and manage the functions of the quality improvement program, including HEDIS reporting and other quality improvement activities. Providing support to staff and communicate with departments and staff to facilitate daily quality improvement (QI) functions

  • Review and analyze reports, records and directives.
  • Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered, required for planning work function activities, including HEDIS reporting.
  • Verify data to be submitted in accordance with government program requirements and ensure compliance with state, federal and certification requirements.
  • Prepare reports and records on work function activities for management.
  • Oversee the review and analysis of reports.
  • Evaluate current procedures and practices for accomplishing the assigned work functions objectives to develop and implement improved procedures and practices and to ensure compliance with required standards.
  • Manage delegate vendor oversight and corrective action plans as indicated.
  • Monitor and analyze costs and participate in the preparation of the budget.
  • Performs other duties as assigned
  • Complies with all policies and standards

The candidate should have strong skills in quality improvement, data analysis, project management, communication, stakeholder management and compliance expertise. Candidate should reside in New York State and will be required to attend in-person meetings multiple times throughout the year. 

Education/Experience:
Bachelor’s degree in health related field or equivalent experience. 4+ years of quality improvement. Supervisory experience in a healthcare environment preferred. Nursing background preferred.

License/Certification: Certified Professional in Healthcare or quality improvement certification preferred.

Pay Range: $86,000.00 - $154,700.00 per year

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.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Top Skills

Data Analysis
Project Management

Similar Jobs

2 Days Ago
Remote
Hybrid
41 Locations
135K-225K Annually
Senior level
135K-225K Annually
Senior level
Artificial Intelligence • Healthtech • Machine Learning • Natural Language Processing • Biotech • Pharmaceutical
The Senior Manager supports the HV&E strategy for lung cancer, manages studies, ensures patient access, and communicates value to stakeholders.
Top Skills: Economic ModelingHealth EconomicsOutcomes ResearchReal-World Evidence
2 Days Ago
Easy Apply
Remote
28 Locations
Easy Apply
Junior
Junior
Cloud • Security • Software • Cybersecurity • Automation
The Executive Business Administrator will support Legal and Corporate Affairs, manage executives' calendars, organize travel, plan events, and handle recruitment tasks.
Top Skills: Google WorkspaceNavanSlackZoom
4 Days Ago
Remote
Berlin, DEU
Senior level
Senior level
Big Data • Cloud • Healthtech • Software • Big Data Analytics
Manage complex consulting projects in R&D, lead teams, develop client relationships and drive business development for Life Sciences.
Top Skills: Analytics ToolsDigital TechnologiesSaaS

What you need to know about the Los Angeles Tech Scene

Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.

Key Facts About Los Angeles Tech

  • Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
  • Key Industries: Artificial intelligence, adtech, media, software, game development
  • Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
  • Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account