Position Purpose: Provide leadership and direction for continuous quality improvement (QI) initiatives to improve efficiency, processes and demonstrate improved quality. Provide and analyze reports to identify trends, opportunities and recommend initiatives aimed at improving quality of care and services provided by the organization. Oversee accreditation process, specifically as it pertains to National Committee for Quality Assurance (NCQA) Accreditation and compliance with contractual requirements.
Responsible for overall coordination of company-wide quality assessment and improvement activities.
Oversee and coordinate with Corporate on annual file audits and other quality related initiatives to include those of a contractual nature.
Manage and implement appropriate work tools/processes, reports and audit tools to ensure control of key processes and program characteristics.
Recommend quality improvement opportunities based on findings and participation in developing and implementing solutions to management and the Quality Improvement Committee (QIC) and other committees, as appropriate.
Provide feedback to rectify errors and to prevent further inconsistencies.
Oversee monthly and quarterly reports and data to identify trends, opportunities for improvement and interventions.
Responsible for policies, operating procedures, and aligning goals in compliance with internal and external guidelines.
Education/Experience: Bachelor's degree in Business, Healthcare, or related field. Master's degree preferred. 5+ years of quality management experience or equivalent leadership experience. Previous experience as lead in functional area, managing cross functional teams on large scale projects or supervisory experience which includes hiring, training, assigning work and managing the performance of staff.
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.See More
Valid through: 11/13/2021