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Quality Practice Advisor

Meridian Illinois

Apple River, IL
1 month ago
$26.50 - $47.59

Job Description

Join Centene as a Quality Practice Advisor to enhance healthcare quality for our members. You will educate providers on HEDIS measures, analyze performance data, and collaborate with teams to improve care standards. This hybrid role requires travel and offers a comprehensive benefits package.

Key Responsibilities

  • Educates providers on NCQA HEDIS measures and documentation standards
  • Collects and summarizes provider performance data
  • Collaborates to improve provider performance in Quality and Operations
  • Identifies practice needs for Centene support
  • Maintains Quality KPI and HEDIS Abstraction accuracy rates
  • Travels up to 75% to provider offices

Required Qualifications

  • Bachelor's Degree or equivalent
  • 3+ years in HEDIS record collection and risk adjustment (coding)
  • One of the following: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CBCS

Benefits & Perks

Health insurance401KStock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work arrangements