[Hiring] Accreditation Specialist @Centene Corporation

Role Description

Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.

• Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.
• Develop and maintain accreditation readiness schedule.
• Create policy and procedures to support accreditation activities.
• Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.
• Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.
• Coordinate assigned NCQA and HEDIS work plan activities.
• Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.

Qualifications

• Bachelor’s degree in Business, related field or equivalent experience.
• 3+ years of related quality improvement, HEDIS and/or NCQA experience.

Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Applicants for this role have the flexibility to work remotely within the continental United States.
• Preferred schedule is based on Eastern Standard Time zone.

Benefits

• Competitive pay.
• Health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible approach to work with remote, hybrid, field or office work schedules.