FreshRemote.Work

Quality Improvement Analyst.

Remote-NV, United States

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: Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets.
  • Perform ongoing quantitative and statistical analysis of performance data to include HEDIS measures, service utilization and member/provider complaint trends

  • Develop HEDIS measures, service utilization and all quality report extraction specifications

  • Develop and update quarterly, annual and ad hoc reports including analysis and narrative for NCQA accreditation and Health Plan deliverables

  • Perform other performance and process improvement activities as needed
  • Performs other duties as assigned

  • Complies with all policies and standards

Education/Experience: Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field. 2+ of performance and statistical analysis or quality improvement experience. Experience in public sector managed care/managed behavioral health care preferred. Experience with standard statistics software preferred.

License/Certification: Certified Professional in Healthcare 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

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Job Profile

Regions

North America

Countries

United States

Restrictions

Holidays

Benefits/Perks

401(k) Competitive benefits Competitive pay Comprehensive benefits Comprehensive benefits package Flexible approach Flexible work schedules Health insurance Holidays Paid Time Off Stock purchase Stock purchase plans Tuition reimbursement Workplace flexibility

Tasks
  • Develop
  • Developing reports
  • Measurement and analysis of data
  • Performance improvement activities
  • Process Improvement
Skills

Access Accreditation Analysis Behavioral health Benefits Business Business Process Cphq Data analysis Education Flexibility Health care Healthcare Healthcare Management Healthcare quality Health Insurance Health Plan HEDIS HEDIS measures Insurance Managed Care Management Monitoring NCQA NCQA Accreditation Performance Data Process Improvement Public sector managed care Quality improvement Reports Service utilization Social Work Software Statistical analysis Statistics Statistics software Utilization

Experience

2 years

Education

AS Bachelor's degree Behavioral health Biostatistics Business Business Management Education Healthcare Health Care Healthcare management Insurance Management Related Field Social Work Statistics

Certifications

Certification Certified Professional in Healthcare Certified professional in healthcare quality Certified professional in healthcare quality (CPHQ) CPHQ

Timezones

America/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9