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Quality Improvement Specialist II (CAHPS)

Des Moines, Iowa Apply Now Job ID 1176229 Category Quality Assurance Organization Iowa Total Care Schedule Full-time

Position Purpose: Assist with the daily operations and support within the Quality Improvement department including data management, data reporting needs, and project management.

  • Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality
  • Assist in data collection, data entry and generation of reports in support of QI initiatives including but not limited to: access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies
  • Analyze data and report writing for committee discussion
  • Research and write items for provider newsletters and other educational pieces
  • Conduct Interdepartmental inter-rater reliability audits
  • Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements.
  • Implement process improvements to streamline departmental functions
  • Assists Director, QI in preparation for audits by regulatory agencies and review organizations

  • Qualifications:

    Education/Experience: Associate’s degree in related field or equivalent experience. 4+ years of data management experience, with a health insurance organization, in a position with accountability for report generation management or project management. Working knowledge of MS Office applications.
    Experience in quality initiatives (including HEDIS project, study analysis, CAHPS or NCQA standards) 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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