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Quality Practice Advisor

Meridian Illinois

Sorento, IL
1 month ago
$26.50 - $47.59

Job Description

Join Centene as a Quality Practice Advisor to enhance provider relationships and improve healthcare quality for our 28 million members. You'll educate providers, analyze performance data, and implement quality improvement initiatives while enjoying a hybrid work environment.

Key Responsibilities

  • Educate providers on HEDIS measures and documentation standards
  • Collect and analyze provider quality and risk adjustment performance data
  • Collaborate with Provider Relations to improve provider performance
  • Identify practice needs for Centene support
  • Maintain quality KPIs and HEDIS abstraction accuracy rates
  • Travel 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

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