Quality Improvement Manager

November 25

🚗 Michigan – Remote

Although this job is listed in Michigan, this company may be open to hiring remote in other states.

💵 $86k - $154.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Centene Corporation

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Healthcare Insurance • Non-profit • Social Impact

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Oversee and manage the functions of the quality improvement program, including HEDIS reporting and other quality improvement activities • Providing support to staff and communicate with departments and staff to facilitate daily quality improvement (QI) functions • Review and analyze reports, records and directives • Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered, required for planning work function activities, including HEDIS reporting • Verify data to be submitted in accordance with government program requirements and ensure compliance with state, federal and certification requirements • Prepare reports and records on work function activities for management • Oversee the review and analysis of reports • Evaluate current procedures and practices for accomplishing the assigned work functions objectives to develop and implement improved procedures and practices and to ensure compliance with required standards • Manage delegate vendor oversight and corrective action plans as indicated • Monitor and analyze costs and participate in the preparation of the budget.

🎯 Requirements

• Bachelor’s degree in health related field or equivalent experience • 4+ years of quality improvement • Supervisory experience in a healthcare environment preferred • Nursing background preferred • Certified Professional in Healthcare or quality improvement certification preferred

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules