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Quality Practice Advisor

Meridian Illinois

Dieterich, IL
25 days ago
$26.50 - $47.59

Job Description

Join Centene as a Quality Practice Advisor and make an impact on healthcare quality for 28 million members. In this hybrid role, you will educate providers on HEDIS measures, collaborate with teams to enhance performance, and develop strong clinical relationships. Enjoy competitive pay and comprehensive benefits while making a difference in your community.

Key Responsibilities

  • Educate providers on NCQA HEDIS measures and risk adjustment
  • Collect and summarize provider quality and risk adjustment performance data
  • Collaborate with Provider Relations to improve provider performance
  • Identify specific practice needs for Centene support
  • Maintain Quality KPI and HEDIS Abstraction accuracy rates
  • Travel up to 75% of time to provider offices

Required Qualifications

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

Benefits & Perks

Health insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules