Director, Quality Improvement at Centene

**Who this is for** This leadership position is for an experienced Director of Quality Improvement who is passionate about driving efficiency and excellence in

Work type: remote

Location: Des Moines - 1080 Jordan Creek Pkwy (10918) | Remote-KS

Salary: $113,100 – $209,100/yr

Type: Full-time

Summary

**Who this is for** This leadership position is for an experienced Director of Quality Improvement who is passionate about driving efficiency and excellence in healthcare operations. **Key highlights** You will lead and direct process improvement initiatives, focusing on areas such as NCQA Accreditation, HEDIS performance, and Medicare STARS ratings to enhance overall quality and member satisfaction. **You might be a good fit if you...** - Hold a Bachelor's Degree in Nursing or a related field, or possess equivalent experience, with a Master's degree preferred. - Have 7+ years of experience in quality management, quality improvement, or healthcare operations. - Possess a strong understanding of quality improvement methodologies and healthcare performance measures. - Can collaborate effectively with internal and external stakeholders, research best practices, and present findings to senior management.

Job Description

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.
 

Must reside within Iowa or Kansas.Position Purpose:
Lead and direct process improvement activities that provide more efficient and streamlined workflow.

• Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance

• Responsible for quality improvement aspects of risk adjustment processes for all products

• Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)

• Oversee provider satisfaction surveys and implement action plans for improvements

• Research and incorporate best practices into operations

• Organize and control activities, methods, and procedures to achieve business objectives

• Review and implement new technological tools and processes and fosters team concept with internal and external constituencies

• Present results of improvement efforts and ongoing performance measures to senior management

• Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines


• Performs other duties as assigned.

• Complies with all policies and standards.

Master's Degree preferred:

7+ years of quality management, quality improvement or healthcare operations experience required

Licenses/Certifications:
Current state’s RN license highly preferred

Certified Professional in Health Care Quality preferred

Pay Range: $113,100.00 - $209,100.00 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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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