You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
This is a remote position but must reside within the state of Arizona.
- Manage all quality of care requirements to ensure the program meets the standards defined by the State, URAC and the annual Quality Management Plan
- Train, supervise, and monitor Quality of Care (QOC) Specialists to ensure accurate and timely processing of QOC data and subsequent reporting requirements
- Ensure clinical investigations and reporting processes are followed in accordance with the State requirements
- Analyze, track and trend results and develop accurate, timely quality indicator reports for management
- Recommend, develop, and implement quality improvement plans with management
- Train providers and staff in methodologies and tools of continuous quality improvement
- Prepare for, and participate in, meetings with various committees, State agencies, providers, and stakeholders. Provide clinical support to medical record audit and quality improvement processes
Education and Experience: Bachelor's degree in applicable field of study and 4 years of experience in Behavioral Health or Quality Improvement. Minimum of 2 years clinical supervisory experience.
Pay Range: $67,400.00 - $121,300.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
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.
