Supervisor, Quality Improvement Audits

Centene Corporation

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 Purpose Identify, develop and monitor performance improvement audit activities, including measurement tool, sample frames and target outcomes. Coordinate and monitor quality improvement audit projects from inception to completion. Develop a cross-departmental comprehensive provider audit schedule.

Must reside in Arizona

• Supervise a team of auditors to ensure provider audits are conducted according to State contractual requirements, including inter-rater reliability.
• Assist in the creation and implementation of the Annual Quality Improvement Work Plan and Evaluation, including the annual cross-departmental audit schedule.
• Develop, implement and educate various departments and practitioner/facility staff on performance measures specifications to ensure accurate measurement application and valid data
• Facilitate cross functional improvement teams based on rapid improvement cycling to drive improved systems performance based on trended audit results.
• Prepare quarterly and annual performance reports for the Executive Management Team and the Quality Management Department
• Develop presentations of provider performance for use in reporting
• Apply statistics testing to all data sets for quantitative analysis for provider performance

Education/Experience Bachelor’s degree in Healthcare, Business Management related field, or related or equivalent experience. 3+ years of quality improvement experience, preferably in managed health care. Experience with the use of statistics software and applications. License/Certificates Certified Professional in Healthcare Quality (CPHQ) preferred. Up to 25% travel and personal vehicle and valid Driver’s License required.

Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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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