Quality Program Development Manager

Job not on LinkedIn

🕒 September 16

🌽 Illinois, Iowa, +2 more states – Remote

🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🏰 Missouri – Remote

💵 $70.1k - $126.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 36%

What it means: the chance that no one is really hiring for this job.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.

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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

• Develop and implement efficient and effective standards, policies, procedures, workflows, and decision-support systems • Oversee creation and implementation of programs supporting strategic Health Services, clinical, and operational quality initiatives • Design and facilitate programs, systems, workflows, and integration efforts aligned with corporate, market, contractual, regulatory, and quality requirements • Serve as content and technical subject matter expert for operations managers and directors • Develop detailed work plans, facilitate root cause analysis, identify and socialize process enhancements, set deadlines, assign responsibilities, and monitor and summarize project progress • Lead state-required Performance Improvement Projects (PIP), including topic selection, root cause analysis, implementation, and final submission • Conduct needs assessments and ensure program teams and external stakeholders receive timely information • Partner with Quality Analytics and Improvement Teams to determine data needs and help design tools and reports • Provide consulting and analysis services to clinical and operations staff to support patient-care quality improvement initiatives • Perform other duties as assigned

🎯 Requirements

• Required A Bachelor's Degree in a related field • Required or equivalent work experience in Business, HC Management, or Nursing • 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment • 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH • 2+ years of experience designing, developing and implementing STARS, CAHPS, HEDIS and other enterprise quality-related programs across varied settings • Experience defining eligible populations, service mix, delivery system configuration and financing • Experience integrating behavioral, clinical, social, and community health care for members with multiple chronic conditions • Experience coordinating consistent quality initiatives with multiple market leaders • Experience conducting assessments, contractual reviews, and business plans for new quality improvement programs • Experience with internally sourced or vendor sourced quality programs and integrating innovative approaches to improve company-wide quality ratings • Six Sigma Certification, Lean Certification, or Certified Professional in Healthcare Quality (CPHQ) preferred • Ability to comply with all policies and standards

🏖️ Benefits

• Competitive pay • 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 • Equal opportunity employer committed to diversity

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