What are the responsibilities and job description for the Quality Improvement Specialist (Non Clinical) position at WellCare of Kentucky?
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 Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.
License/Certification Valid driver’s license. Certified Professional in Health Care Quality (CPHQ) preferred.Pay Range $55,100.00 - $99,000.00 per year
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
Position Purpose Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries.
- Heavy chart monitoring and auditing of medical records
- Monitor the production of quality results reporting; analyze, track and trend the reporting results and report them to management
- Formulate and prepare ad-hoc and additional reporting requirements
- Recommend, develop, and implement quality improvement plans with management
- Train providers and staff in methodologies and tools of continuous quality improvement
- Prepare for and participate in meetings with State agencies, providers, and stakeholders
- Perform audits on to meet state and internal requirements
- Performs other duties as assigned
- Complies with all policies and standards
License/Certification Valid driver’s license. Certified Professional in Health Care Quality (CPHQ) preferred.Pay Range $55,100.00 - $99,000.00 per year
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 : $55,100 - $99,000
