Quality Improvement Specialist – Non Clinical

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $27 - $48 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Support the development and maintenance of quality improvement related projects and reporting • Respond to quality improvement inquiries • Perform heavy chart monitoring and auditing of medical records • Monitor production of quality results reporting; analyze, track, and trend 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 continuous quality improvement methodologies and tools • Prepare for and participate in meetings with State agencies, providers, and stakeholders • Perform audits to meet state and internal requirements • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Candidates residing in California are strongly preferred • Must be available to work Pacific Time (PST) business hours • Bachelor’s degree in related field or equivalent experience • 3+ years of related experience • Valid driver’s license • Certified Professional in Health Care Quality (CPHQ) preferred • Experience with HEDIS, audit processes, and medical records review is ideal

🏖️ Benefits

• health insurance • 401K • stock purchase plans • 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