Quality Practice Advisor at Centene
This mid-level role is designed for healthcare professionals with a strong background in HEDIS record collection and risk adjustment coding. The ideal candidate
Work type: remote
Location: Remote-WI
Salary: $27 – $49/hr
Type: Full-time
This mid-level role is designed for healthcare professionals with a strong background in HEDIS record collection and risk adjustment coding. The ideal candidate holds a clinical or coding certification (such as an RN, LPN, CPC, or CCS) and possesses the communication skills necessary to consult directly with large physician practices and IPAs.
The position offers a high-paying hourly rate and the flexibility of a fully remote work arrangement, though it requires a significant "field" component with up to 75% local travel to provider offices. As part of a massive national healthcare organization, you will receive comprehensive benefits, including 401k plans, stock purchase options, and tuition reimbursement.
**You might be a good fit if you...**
* Are a resident of **Wisconsin** with at least 3 years of experience in HEDIS and risk adjustment.
* Hold an active clinical license (RN/LPN/LCSW) or professional coding certification (CPC/CCS).
* Enjoy a "consultative" rhythm that involves traveling to clinics to coach providers on documentation and gap closure.
* Can translate complex NCQA requirements and ICD-10/CPT codes into actionable advice for medical practices.
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