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Quality Improvement Specialist II

Westmont, Illinois Apply Now Job ID 1176652 Category Quality Assurance Organization Centene Corporation Schedule Full-time
Description:
Please apply quickly to be considered for out Virtual Interviews taking place April 1st & 2nd
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, 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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