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You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.
Education/Experience: Bachelor’s degree or equivalent required. 3 years of experience in HEDIS record collection and risk adjustment (coding).
License/Certification:
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CBCS.
Pay Range: $25.97 - $46.68 per hour
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.
Job Type: Full-time
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Work Location: On the road
Full Time
$81k-101k (estimate)
06/02/2024
09/28/2024
The job skills required for Quality Practice Advisor include Quality Assurance, Quality Improvement, etc. Having related job skills and expertise will give you an advantage when applying to be a Quality Practice Advisor. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Quality Practice Advisor. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Quality Practice Advisor positions, which can be used as a reference in future career path planning. As a Quality Practice Advisor, it can be promoted into senior positions as a Quality Assurance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Quality Practice Advisor. You can explore the career advancement for a Quality Practice Advisor below and select your interested title to get hiring information.