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Centene

Runs government-backed health insurance plans

Lead Quality Program Strategist

Business OperationsPosted on Nov 10
Full-timeFlorida, USA$87.7k - $157.8k /yr

About the Job

Requirements

  • Bachelor’s degree in Nursing, Public Health, Health Administration, Business Administration, a related field, or equivalent experience.
  • At least 5 years of experience in healthcare quality, including STARS, QRS, and HPRS.

Responsibilities

  • Identify trends within quality data using product scorecards, provider scorecards, and enterprise dashboards to develop quality-driven programs and initiatives in response to those trends, potentially impacting departments across the enterprise.
  • Assist stakeholders in determining the root cause of business issues and recommend solutions.
  • Ensure strategic programs and initiatives are implemented alongside key stakeholders to improve quality rating systems and business value.
  • Perform other duties as assigned.

Desired Qualifications

  • Master of Public Health or Master of Health Administration.
  • Lean Six Sigma or CPHQ certification.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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