Quality Program Strategist

This is a remote opportunity on the Medicare Quality team.

Experience with Medicare Stars is highly preferred.

Position Purpose: Plans, organizes, and monitors quality related projects to deliver defined requirements and meet company strategic objectives.

• Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan programs, including the determination of the appropriate target population, health program design, marketing of the program, and data systems; recommend quality improvements to achieve goals, including updates to programs and processes
• Create quality risk assessments and develop processes for health plans to achieve quality metrics
• Utilize Lean 6 Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics
• Collaborate through ad hoc initiative requests and scorecard review and to support initiative development and implementation
• Create, maintain and facilitate quality improvement health plan training
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: Associate’s degree in Nursing, Public Health, or related clinical field, or equivalent experience. 2+ years clinical experience or managed care.health insurance experience required; 1+ year quality experience preferred.

License/Certification: Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker preferred; CPHQ preferred

Pay Range: $56,200.00 - $101,000.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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