Quality Improvement Analyst

🔥 2 minutes ago

🐊 Florida, Missouri, +2 more states – Remote

🐊 Florida – Remote 🏰 Missouri – Remote 🤠 Texas – Remote 🍑 Georgia – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🧐 Analyst

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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.

📋 Description

• Perform ongoing measurement, analysis, and monitoring of business process and member outcomes data sets • Perform quantitative and statistical analysis of performance data, including HEDIS measures, service utilization, and member/provider complaint trends • Develop HEDIS measures, service utilization, and 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 performance and process improvement activities as needed • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor’s degree in Healthcare Management, Business Management, Social Work, Biostatistics, or related field • 2+ years of performance and statistical analysis or quality improvement experience • Experience developing/generating documents that clearly communicate data trends and recommendations • Six Sigma White Belt certification, or willingness to obtain it within 90 days of hire • Experience in public sector managed care/managed behavioral health care preferred • Experience with standard statistics software preferred • Certified Professional in Healthcare Quality (CPHQ) preferred • Schedule aligned with CST or EST

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation

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