What are the responsibilities and job description for the Quality Improvement Specialist I, Medical Records position at Superior HealthPlan?
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.
Requirements
Applicants must physically reside in Texas
Schedule Monday - Friday 800 am - 500pm (CST)
Health Information/ Medical Records and Provider Liaison experience - strongly preferred
Position Purpose Support the data management and quality improvement initiatives for assigned functional areas
Preferred Experience
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Requirements
Applicants must physically reside in Texas
Schedule Monday - Friday 800 am - 500pm (CST)
Health Information/ Medical Records and Provider Liaison experience - strongly preferred
Position Purpose Support the data management and quality improvement initiatives for assigned functional areas
- Assist with the development and coordination of all core health services data reports
- Support the development of quality improvement performance audit function processes and tools
- Assist in designing, running, managing, and data review process for assuring accuracy and integrity of health services data reports to meet regulatory and operational requirements
- Report outcomes and quality monitoring results to management
- Assist with managing databases, policies and procedures related to assigned areas
- Assist with related activities for various committees and meetings for assigned areas
Preferred Experience
- Current or previous experience working with electronic medical records (EMR)
- Basic medical knowledge is helpful for this role.
- Proficiency in using BASIC EXCEL to research information and patient records
- Strong communication and excellent customer services skills as 90% of role responsibilities is contacting Provider offices and/or hospitals to request medical records.
- Proficient computer skills, knowledge, and experience working within large databases or provider information systems and Microsoft Office applications and the ability to use multiple avenues of communication (e.g. instant messaging, MS Teams, email, phone, fax, video conferencing) is 90% of the role responsibilities.
Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Salary : $23 - $39
