Manager, Quality Improvement Analytics at Centene

**Who this is for** This role is for experienced analytics leaders who are adept at managing data, uncovering trends, and driving process improvements within th

Work type: remote

Location: Remote-CA

Salary: $87,700 – $157,800/yr

Type: Full-time

Summary

**Who this is for** This role is for experienced analytics leaders who are adept at managing data, uncovering trends, and driving process improvements within the healthcare sector. If you have a passion for leveraging data to enhance quality initiatives and possess strong leadership skills, this is an excellent opportunity. **Key highlights** As the Manager, Quality Improvement Analytics, you will lead a team responsible for analyzing data to identify opportunities for process improvement and optimize healthcare quality measures. This fully remote role allows you to work from anywhere while making a substantial impact on member outcomes. **You might be a good fit if you...** - Hold a Bachelor’s degree in Business, Computer Science, Nursing, or a related field, with 3+ years of analytical experience in managed health care. - Have a proven ability to manage staff, design data tracking tools, and analyze information for quality improvement initiatives like HEDIS. - Possess in-depth knowledge of medical terminology, coding, and SAS experience is highly preferred. - Have previous experience leading cross-functional teams on large-scale projects or supervisory experience.

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.

Position Purpose:
Manage and develop data necessary to analyze trends over various timeframes. Manage the data mining process and analysis using internally supported database programs. Collaborate with various departments and other key business units to identify areas for process improvement initiatives.

Manage staff to ensure the accuracy and timeliness of data requests

Evaluate reports produced by the Quality Initiative (QI) Department and other various departments for trends and opportunities for improvement

Mange the design of tools and databases to capture and track data, methodologies, findings and analysis and ensure data collection/extractions, analysis and submissions meet regulatory compliance requirements

Monitor data and information to assist QI department staff members in improving HEDIS and other required measures

Research and establish benchmarks and statistics for quality measures

Develop, prepare and present reports on quality programs and issues to both internal and external stakeholders

Evaluate and test new or modified programs and procedures used to verify that QI functions and conforms to established guidelines

Performs other duties as assigned.

Complies with all policies and standards.

Education/Experience:
Bachelor’s degree in Business, Computer Science, Nursing, or other health care related field or equivalent experience. 3+ years of related analytical experience in managed health care, Medicare or Medicaid. Experience with concepts of information management and an in depth knowledge of medical terminology, coding issues and practices, including ICD-9, CPT4, HCPCS Level II. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

SAS experience is highly preferred.

Pay Range: $87,700.00 - $157,800.00 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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