This is a Full-Time position, remote, with day shift hours and great benefits!

Will travel to Richmond, VA 1x a quarter.

Work Location:

Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming

Job Responsibilities:

This position is responsible for the implementation and support of quality initiatives within assigned areas. Provides subject matter expertise related to quality initiative implementation, reporting and analysis. Is a liaison between internal/external customers and Information Technology for business definition, scope, testing and implementation to ensure quality, efficiency, effectiveness, and customer knowledge to improve business practices

Required qualifications:

• Bachelor's degree REQUIRED

• Minimum 3 years of experience in Analytics, Healthcare and Project Management REQUIRED

Preferred qualifications:

• Master's PREFERRED

• Familiar with HEDIS or other quality measures

• Experience in Healthcare/Managed Care Organization (MCO), especially work with Medicaid, Medicare, Exchange, SNP, and Commercial populations

• Familiar with state/NCQA/CMS quality measure requirements

• Monitor, track and trend of interventions for 90 HEDIS measures owned/managed by lead across the organization

• Familiar with regulatory and NCQA required survey such as CAHPS, HOS, QRS enrollee sample frame, or case management survey

• Immediate analytics skills such as familiar with Excel, Powerpoint and SQL (preferred), and able to pull data from various databases

​Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more. 

Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.

For applicants within Washington State, the following hiring range will be applied: $74,911.20 to $107,889.60/annually.

Sentara Health Plans is the health insurance division of Sentara Healthcare. 

Sentara Health Plans provides health insurance coverage through a full suite of commercial products including consumer-driven, employee-owned and employer-sponsored plans, individual and family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees.

With more than 30 years’ experience in the insurance business and 20 years’ experience serving Medicaid populations, we offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services – all to help our members improve their health. 

Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. 

Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!

To apply, please go to www.sentaracareers.com and use the following as your

Keyword Search:  JR-42116

#Indeed

Monster

Talroo – HealthPlan

Health plan, Healthcare, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Quality Improvement, Managed Care , CMS, NCQA, CAHPS, HEDIS, Medicaid, Medicare, Exchange, SNP, Commercial, Data Analysis, Business Analyst