Centene

Quality Improvement Specialist I


Pay$21.93 - $37.30 / hour
LocationAustin/Texas
Employment typeFull-Time

This job is now closed

  • Job Description

      Req#: 1486228

      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 is REMOTE and applicants must physically reside in the state of Texas. Non-Texas applications will not be considered at this time.

      Position Purpose: Support the data management and quality improvement initiatives for assigned functional areas

      • Assist with the development and coordination of all core health services data reports

      • Support the development of quality improvement performance audit function processes and tools

      • Assist in designing, running, managing, and data review process for assuring accuracy and integrity of health services data reports to meet regulatory and operational requirements

      • Report outcomes and quality monitoring results to management

      • Assist with managing databases, policies and procedures related to assigned areas

      • Assist with related activities for various committees and meetings for assigned areas

      Education/Experience: Associate's degree in related area or equivalent experience. 2+ years of data management, including reporting, project management or quality improvement experience.

      Preferred Qualifications:

      Work Experience:

      • 4+ years of experience outreaching to members and Providers via telephone or other method of correspondence to assure care needs are being met and all applicable data is received.

      Business Analysis Knowledge:

      • 2+ years of experience engaging and partnering with health care providers and clinical staff to source and track EMR and medical charts to conduct chart abstraction and data analysis

      • Skilled to work in a fast-paced environment. Must have strong analytical and problem solving skills.

      • Role requires strong attention to detail, organizational and time management skills

      Proficient in Computer Skills and Internet Search Navigation:

      • Proficient computer skills, knowledge, and experience working within large databases or provider information systems to conduct data analysis, cross reference raw data

      • Moderate proficiency in Excel skills (i.e. using Filters, V look-ups, Pivot Tables, Sorting data, etc.) is required

      • Microsoft Office applications (Excel, Outlook, Word) and the ability to use multiple avenues of digital communication (e.g. instant messaging, email, phone, video conferencing)

      • Comfortable using digital video conferencing platforms (Zoom, MS Teams) is required.

      Effective Customer Service:

      • Skilled to communicate with all levels of management, internal and external customers

      • Role requires excellent customer service and emotional intelligence skills

      • Ability to collaborate with team members and work independently

      Effective Business Communication:

      • Skilled in communicating with technical and business constituencies

      • Must be highly adaptable/flexible to changes and skilled at learning new processes

      • Ability to lead or coordinate projects within own department.

      Pay Range: $21.93 - $37.30 per hour

      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.

  • About the company

      Centene Corporation is a publicly traded managed care company based in St.

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