Manager, Quality Improvement Provider Interventions
Centene
Tacoma, Washington, USA
2d ago

Description

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.
  • Qualifications

    Education / Experience : Bachelor’s degree in health related field. 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.

    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.

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