logo

Director, System Quality Assurance

  • Anywhere

Company :
Centene

Location :
Oklahoma City, Oklahoma

Expiry Date :
Mon, 08 Mar 2021 23:59:59 GMT

Apply Job :
Open Link

Description :
Director, System Quality Assurance 00A71 Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow. – Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance – Responsible for quality improvement aspects of risk adjustment processes for all products – Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS) – Oversee provider satisfaction surveys and implement action plans for improvements – Research and incorporate best practices into operations – Organize and control activities, methods, and procedures to achieve business objectives – Review and implement new technological tools and processes and fosters team concept with internal and external constituencies Present results of improvement efforts and ongoing performance measures to senior management – Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines Bachelor’s degree in Nursing, related clinical degree or equivalent experience. 7+ years of quality management, quality improvement or healthcare operations experience. Masters’ degree preferred. License/Certificates: Certain states may require a formal certification in quality improvement, risk management, or another parallel field. Current state’s RN license preferred. Certified Professional in Health Care Quality preferred. Information Technology USA-Oklahoma-Oklahoma City Centene Corporation Full-time