Centene CorporationRemote
Quality Improvement Project Manager – Health Equity
Nevada, United States of America
Full Time
1 week ago
$70,100 - $126,200 USD
No Visa Sponsorship
Key skills
Project ManagementRisk Management
About this role
Role Overview
- Coordinate and monitor quality improvement and organizational projects from inception to closure including NCQA and HEDIS preparation
- Provide functional and technical knowledge for NCQA/HEDIS across all plan departmental staff and deliver educational sessions to internal staff and external constituents as needed
- Coordinate Work Plan, team and resources for HEDIS/CAHPS submission to Connector Authority and NCQA
- Analyze data and develop presentations and materials for committee and articles for newsletters and other educational pieces
- Design, run, and manage the data review process to ensure accuracy and integrity of data reports to meet regulatory and operational requirements
- Coordinate and implement interventions to increase HEDIS, CAHPS and designated health measures for the Plan
- Adhere to NCQA standards and work with Corporate Director of Accreditation in maintaining Plan’s NCQA accreditation
- Support the coordination of corporate compliance and external surveys as needed
- Monitor the creation of all project deliverables to ensure adherence to standards including design documents, test plans and operations documentation
- Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources, support HEDIS audit process, and facilitate project execution, deployment and closure
- Coordinate all data pulls and ongoing data management for HEDIS and QI project management databases for identified QI projects with department staff and corporate contacts
- Evaluate sources for alternative data capture; assess ongoing methodology and results
- Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans.
Requirements
- Bachelor’s degree in Healthcare, Business or equivalent experience
- Master's in Public Health or related field preferred
- 4+ years of quality improvement or project management experience in managed care with advanced knowledge of HEDIS and NCQA
- Proficiency required in Microsoft applications including PowerPoint, Excel and Access.
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- a flexible approach to work with remote, hybrid, field or office work schedules