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Quality Improvement Coordinator II

Company: Delaware First Health
Location: Newark
Posted on: November 23, 2022

Job Description:

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Coordinate and monitor quality improvement and organizational projects from inception to closure. Perform duties and functions as required to develop and implement quality improvement programs and initiatives at both the corporate and individual health plan levels according to NCQA, URAC and State requirements. --- Work with Director of Accreditation to assist with Plan compliance to NCQA/URAC standards.
--- Maintain Quality Improvement policies and procedures in compliance with NCQA/URAC requirements and recommend changes/enhancements as indicated.
--- Identify best practices, research new processes and recommend overall program enhancements.
--- Support the project life cycle including requirements gathering, creation of project plans and schedules, manage resources and facilitate project execution, deployment and closure.
--- Assist with collection and presentation of data for identified QI projects; identifying sources, methodology and timeliness for which data is needed. Education/Experience: Bachelor's degree in Nursing or related medical field preferred. 3+ years clinical experience and 1+ years of experience in a quality function. Experience with Microsoft Excel and Access applications. Hands on experience with writing and implementing policies and procedures to support NCQA/URAC or JCAHO accreditation standards preferred. Basic understanding of health insurance business, claims payment procedures, strategies and trends in health care preferred.

License/Certification: RN, LPN or LVN. Current state nursing license and valid driver's license. CPHQ preferred. Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development. 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.

Keywords: Delaware First Health, Newark , Quality Improvement Coordinator II, Other , Newark, Delaware

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