Full-Time
Director Quality & Process Improvement
HEDIS Audit
Posted on 6/13/2026
Centene
10,001+ employees
Local health insurance and care services
Compensation Overview
$118.4k - $219k/yr
Missouri, USA
Remote
Bachelor's
 Medical, Clinical & Veterinary (1) |
|---|
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- A bachelor's degree in a related field.
- At least 6 years of quality and process improvement experience.
- Knowledge of research methodologies, including measures and outcomes.
- Knowledge of process mapping, process design, and workflow management software and applications.
- Lead and direct process improvement initiatives by utilizing process improvement methodologies to analyze current operations and design improvement projects across all areas that impact operations.
- Support NCQA HEDIS audit readiness and compliance, ensuring accurate and timely submissions.
- Lead daily audit readiness activities, including Roadmaps, Section 5 documentation, Measure Specifications, CAHPS coordination, and auditor engagement, ensuring all deliverables are accurate, complete, and submitted on time.
- Oversee the administration, coordination, and evaluation of quality assurance and training, including policy and procedure development, training assessments, and quality adherence auditing.
- Direct the execution of performance improvement projects, including process mapping and process design and HEDIS audit timelines and deliverables.
- Serve as the primary point of contact for auditors and leadership, supporting audit communications and successful outcomes.
- Create and maintain dashboards, communications, and strategies to improve effectiveness.
- Research and develop best practices, policies, procedures, and goals in compliance with internal and external guidelines.
- Oversee data analysis and gathering processes and programs to establish the costs and benefits of process effectiveness and efficiency.
- Ensure the business unit is compliant with URAC and Joint Commission Accreditation standards.
- Review and implement new technological tools and processes.
- Establish strong collaborative relationships with all functional units and their leaders.
- Healthcare industry experience.
- Experience with URAC and Joint Commission Accreditation.
- Experience with NCQA HEDIS measures or audit processes.
Centene provides health insurance and related health services to underinsured and uninsured individuals, serving primarily through the Health Insurance Marketplace and a network of local brands and teams across the United States. It collects premiums from members and delivers access to medical, dental, vision, behavioral health, and pharmacy benefits, aiming to offer cost-effective care. The company differentiates itself with a localized, community-focused operating model that tailors offerings to each community while leveraging a wide range of services and scale to manage costs. Its goal is to improve health outcomes and overall well-being for its members while maintaining responsible governance and sustainability efforts on environmental and social fronts.
Company Size
10,001+
Company Stage
IPO
Headquarters
St. Louis, Missouri
Founded
1984
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Simplify's Take
What believers are saying
- Q2 2026 net income reached $1.09 billion, reversing a $253 million loss.
- Centene raised 2026 revenue guidance to $193.5-$197.5 billion on July 28, 2026.
- HBR improved to 89.6% and operating cash flow hit $3.59 billion.
What critics are saying
- CMS imposed a $380,785 Medicare Advantage penalty after 2022 overcharge findings on July 27, 2026.
- Medicaid membership now falls 8%-9% in 2026 as January 2027 work requirements bite.
- The Lunstrum securities class action targets Centene's enrollment and risk-adjustment disclosures; discovery continues.
What makes Centene unique
- Centene's local-brand Medicaid footprint covers 25.9 million members across states.
- It specializes in government-sponsored plans, especially Medicaid, Marketplace, and Medicare Advantage.
- Its data-heavy fraud and cost controls target state-specific payment and utilization rules.
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Benefits
Health Insurance
401(k) Retirement Plan
401(k) Company Match
Paid Vacation
Hybrid Work Options
Flexible Work Hours
Company News
Health Net taps CEO from Nevada plan. Table of contents. Centene's Health Net named Eric Schmacker as plan president and CEO, confirming the Eric Schmacker Health Net CEO appointment following his tenure as the health plan's interim leader. How the Eric Schmacker Health Net CEO appointment came together. Schmacker most recently held the same role at Silver Summit Health Plan, another Centene plan in Nevada, a LinkedIn announcement said. Leading up to his official appointment, he has been Health Net's interim plan president. This progression from interim leadership to permanent appointment suggests Centene opted for continuity, promoting a leader already familiar with Health Net's operations rather than conducting an external search from scratch. Why his Nevada background matters. Having previously led another Centene-owned plan in Nevada gives Schmacker direct experience navigating the same corporate structure and operational expectations he'll now apply at Health Net, a factor that may have streamlined his transition into the permanent role. Schmacker's background before this Health Net CEO appointment. Before Centene, Schmacker held executive roles at Tenet Healthcare's San Antonio, Texas-based Baptist Health System, including CEO of St. Luke's Baptist Hospital, CEO of Mission Trail Baptist Hospital, and COO of North Central Baptist Hospital. He is also a 21-year U.S. Army veteran. Why this combination of experience stands out. Schmacker's background spanning multiple hospital COO roles within a major health system, combined with more than two decades of military service, gives him a leadership profile shaped by both large-scale healthcare operations and the discipline associated with a long military career, a combination that may prove valuable as he takes on the operational demands of leading a Medicaid-focused managed care plan. Why this Health Net CEO transition matters. Former Health Net CEO Brian Ternan left the company in July to serve as GuideWell's executive vice president of commercial business. This departure created the leadership vacancy Schmacker has now filled, following a relatively swift transition from Ternan's exit to Schmacker's confirmed permanent appointment. How this fits a broader wave of payer executive turnover. This appointment adds to a broader pattern of health plan C-suite transitions in 2026, with Becker's separately tracking 22 health plan C-suite exits this year alone, spanning regional plans and large, for-profit insurers alike. The same week also brought news of Cambia Health Solutions naming a new CEO for its third-party administrator subsidiary and a CVS Health board appointment. What this Eric Schmacker Health Net CEO appointment means going forward. With Schmacker's transition from interim to permanent CEO now complete, Health Net has resolved its leadership uncertainty following Ternan's July departure, giving the plan stable, confirmed leadership as it continues operating within Centene's broader managed care portfolio. Given Schmacker's prior experience leading another Centene plan in Nevada, his approach to Health Net's operations may reflect lessons and strategies carried over directly from his time at Silver Summit Health Plan. What to watch going forward. As Schmacker settles into his permanent role, industry observers will likely watch how his hospital operations background and military leadership experience shape Health Net's strategic priorities going forward. Given the broader wave of health plan executive turnover occurring across the industry in 2026, this Eric Schmacker Health Net CEO appointment may offer one more data point in understanding how insurers are approaching leadership transitions amid a year marked by significant C-suite change across the payer sector.
Health insurer Centene has appointed Chris Neczypor as its new chief financial officer, effective January. He will succeed Drew Asher, who has held the position since 2021. Asher will step down in December and retire at the end of 2027. Neczypor will join Centene in September to work alongside Asher for a smooth transition. Prior to joining Centene, Neczypor served as executive vice president and CFO at Lincoln Financial, where he oversaw financial operations for the company's life insurance, annuities, group benefits and retirement solutions businesses.
Centene (NYSE:CNC) Announces CFO Transition as Drew Asher steps down. 17 August 2026 05:49 AM PDT Summarize with AI You are reading a free article with opinions that may differ from the recommendation given by Kalkine in its paid research reports. Become a Kalkine member today to get access to its research reports, in-depth technical and fundamental research. Learn more Key Highlights * Centene (NYSE:CNC) announced CFO Drew Asher will step down from the role on December 31, 2026, and retire from the company at the end of 2027 * Chris Neczypor, former Executive Vice President and CFO of Lincoln Financial, will join Centene in September and become CFO effective January 1, 2027 * Under Asher's tenure since 2021, Centene's Revenue grew from approximately $126 billion to approximately $195 billion in 2025 * Centene reaffirmed its full-year 2026 adjusted diluted EPS guidance of greater than $4.80 and all associated guidance metrics from its July 28 Earnings release Centene Announces Planned CFO Transition Centene (NYSE:CNC) announced that Chief Financial Officer Drew Asher will step down from his role on December 31, 2026, and retire from the company at the end of 2027. Chris Neczypor will join the organization in September and work alongside Asher before formally assuming the Executive Vice President and CFO role on January 1, 2027. Asher will remain with Centene through his retirement to support strategic initiatives and ensure a smooth handover. Neczypor previously served as Executive Vice President and Chief Financial Officer of Lincoln Financial, a provider of life insurance, annuities, group benefits, and retirement solutions, since joining the company in 2018. He also held roles including Chief Strategy Officer at Lincoln, and prior to that spent more than a decade in Investment and financial services, including as an Equity research analyst at Goldman Sachs. Leadership Comments on the Transition Centene Chief Executive Officer Sarah London said Neczypor brings a proven track record of strengthening financial performance and creating long-term Shareholder value, describing him as a collaborative, values-driven leader. Neczypor said he was honored to join Centene and looks forward to working with London and the Leadership team as CFO. Asher, who has more than three decades of experience in financial and healthcare industry leadership, has served as CFO since 2021. During his tenure, Centene's revenue grew from approximately $126 billion in 2021 to approximately $195 billion in 2025, reflecting a significant increase in the company's scale during a period of broader transformation across the healthcare industry. Asher said he remains proud of how Centene navigated substantial change while maintaining disciplined execution, and said he looks forward to continuing to work with London and Neczypor through 2027. London thanked Asher for his contributions, citing his strategic perspective and financial discipline in setting up the company's next phase of growth. Guidance Reaffirmed Alongside Announcement Alongside the leadership transition announcement, Centene reaffirmed its previously issued full-year 2026 adjusted diluted earnings-per-share guidance of greater than $4.80, along with all associated 2026 full-year guidance metrics provided in its July 28 second-quarter earnings release. The reaffirmation signals that the CFO transition is not expected to disrupt the company's near-term financial outlook or previously communicated targets. Centene serves more than 1 in 15 individuals across the country through government-sponsored and commercial healthcare programs, including Medicaid, Medicare, and Health Insurance Marketplace offerings, with a focus on under-insured and uninsured populations. FAQs. Q: When will Chris Neczypor officially become Centene's CFO? A:Neczypor will join Centene in September 2026 and formally assume the Executive Vice President and CFO role effective January 1, 2027. Q: How did Centene's revenue grow during Drew Asher's tenure as CFO? A:Revenue grew from approximately $126 billion in 2021, when Asher became CFO, to approximately $195 billion in 2025. Q: Did Centene change its 2026 financial guidance alongside the CFO announcement? A:No. Centene reaffirmed its previously issued full-year 2026 adjusted diluted EPS guidance of greater than $4.80 and all associated guidance metrics. Download Free Report - Explore 3 Stock Ideas & Industry Insights Unlock 3 stock ideas and key industry insights in its free report. This information is general in nature and does not consider your personal objectives, financial situation, or needs. It is not financial advice. All investments involve risk - consider independent advice before making any investment decisions. Disclaimer:
Press Release: Habitat for Humanity of Greater Pittsburgh and PA Health & Wellness announce partnership to provide home repairs. For Immediate Release - August 17, 2026 PITTSBURGH, PA - Habitat for Humanity of Greater Pittsburgh announces today the launch of the Habitat Pittsburgh Aging in Place Critical Repair Program. This program will cover the costs of eligible interior and exterior home repairs and modifications for homeowners over the age of 62. The program aims to increase the safety, accessibility, condition, and livability of the home and is funded in part by a $300,000 grant from Pennsylvania Health & Wellness, Inc. "Now, more than ever, providing financial support for individuals Aging in Place is a critical component of the work we do at Habitat Pittsburgh," said Habitat for Humanity of Greater Pittsburgh President & CEO, Dr. Howard B. Slaughter. "The Pittsburgh region has a large population of Senior Citizens and because Americans are living longer a greater level of support is warranted and extremely important to facilitate." PA Health & Wellness is a Pennsylvania-based health plan that supports home and community-based services for older Pennsylvanians and people with disabilities. Nearly 75,000 participants across the state are eligible for home modifications that improve home safety and help keep them in their homes as long as possible and support greater independence. "One of the most important parts of living healthy is having a safe and sound place to call home," said Marc Giordano, Plan President and CEO of PA Health & Wellness. "By partnering with Habitat for Humanity of Greater Pittsburgh, we are helping to keep people in their homes where and remain a vibrant part of the community." Habitat for Humanity of Greater Pittsburgh's Aging in Place Critical Home Repair Program is designed to help low-income families remain in their existing home by making home repairs for which there is a need. The program addresses five key areas: Safety, Security, Accessibility, Code Violations and Energy Efficiency. To qualify, applicants must fall within the following criteria: own and live in a home in Allegheny County; must be 62+ (senior citizen) or over the age of 21 with a disability; household gross income must be below 80% of the area median family income. Other requirements apply. For more information or to apply, contact Emily Kammenzind, VP of Homeowner & Home Repair Services, at 412-450-8520 ext. 101 or [email protected]. About Habitat for Humanity of Greater Pittsburgh Habitat for Humanity of Greater Pittsburgh is a nonprofit that provides decent, affordable homeownership and home repair services to families and individuals earning a low-income. Its mission is to bring people together to build homes, communities, and hope in Allegheny County. Pittsburgh, PA is an affiliate of Habitat for Humanity International, a global nonprofit housing organization working in local communities across all 50 states in the U.S. and in approximately 70 countries. To learn more, visit www.habitatpittsburgh.org. About PA Health & Wellness PA Health & Wellness, a Centene Corporation company, is a managed care organization serving Pennsylvanians through CHIP, Medicaid, Medicare and the Pennie Marketplace, and has been recognized among the top 14 Medicaid health plans in the nation by the NCQA. Learn more at pahealthwellness.com.
Centene taps Chris Neczypor to succeed retiring CFO Drew Asher. By Christy Santhosh Aug 17 (Reuters) - Centene said on Monday Chris Neczypor would succeed Drew Asher as chief financial officer in January, while the health insurer seeks to bolster profitability following pressure in its Medicaid and Obamacare businesses. Asher, who was CFO since 2021, will step down in December and retire at the end of 2027. Neczypor will join in September to ensure smooth transition, the company said. Its shares fell 4%. Barclays analyst Andrew Mok said Asher's leadership would be "difficult to replace", but the one-year transition period should help to reduce investor concerns. Centene is preparing for an expected enrollment decline in Medicaid plans for lower-income individuals, as it manages the financial fallout from new work requirements and tighter state eligibility rules, which could leave it with a smaller, higher-cost member base. The work requirements are set to take effect by January 1, potentially extending the pressure into Neczypor's first year as finance chief. Prior to Centene, Neczypor worked as executive vice president and CFO at life insurer Lincoln Financial. His appointment echoes a broader reshuffle of finance chiefs across the U.S. healthcare sector, with Pfizer, Amgen, GE Healthcare and Baxter announcing major executive changes this year. CENTENE UNDER ASHER Asher joined Centene in January 2020 following its acquisition of WellCare, where he was CFO, and helped steer the insurer through Medicaid eligibility redeterminations and disruptions in Obamacare Marketplace plans. During his tenure, the company expanded from about $126 billion in revenue in 2021 to around $195 billion in 2025. Asher's biggest test came in 2025, when Centene withdrew 2025 earnings forecast after identifying a roughly $1.8 billion shortfall in expected risk-adjustment revenue from Obamacare plans. Several Americans this year are dropping off the plans as they are struggling to make payments due to the end of extra subsidies created during the pandemic. (Reporting by Christy Santhosh in Bengaluru; Editing by Shilpi Majumdar)