Quality Improvement Coordinator II
Company: Careerbuilder-US
Location: Newark
Posted on: January 18, 2023
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.SDL2017
Keywords: Careerbuilder-US, Newark , Quality Improvement Coordinator II, Other , Newark, Delaware
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