Job Overview
Location
Remote-IN
Job Type
Full-time
Category
Operations
Date Posted
July 10, 2026
Full Job Description
đź“‹ Description
- • Lead and direct process improvement activities that provide more efficient and streamlined workflow.
- • Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance.
- • Responsible for quality improvement aspects of risk adjustment processes for all products.
- • Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS).
- • Oversee provider satisfaction surveys and implement action plans for improvements.
- • Research and incorporate best practices into operations.
- • Organize and control activities, methods, and procedures to achieve business objectives.
- • Review and implement new technological tools and processes and fosters team concept with internal and external constituencies.
- • Present results of improvement efforts and ongoing performance measures to senior management.
- • Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines.
- • Oversee Coordinated Care’s Cultural Competency Program, including its Cultural Competency Plan focused on Culturally and Linguistically Appropriate Services (CLAS).
- • Lead Coordinated Care’s Health Disparities efforts, including those focused on justice involved individual members.
- • Collaborate with State, County, and local agencies to promote services that improve health outcomes, decrease health disparities and reduce the cost of care.
- • Work closely with State, County and local agencies, community stakeholders and communities to monitor the application of all standards.
- • Promote an environment of cultural competence throughout the health plan through identification and implementation of culturally-inclusive best practices and innovations.
- • Oversee the assessment of cultural diversity of the provider network to identify resources and gaps, including needs analysis for non-traditional providers (traditional healers, religious and spiritual resources, natural support systems, etc.) and develops recommendations for credentialing and network development activities.
- • Monitor and evaluate provider practices through KPIs within health equity dashboards to assess and improve the cultural competence of delivered services by addressing care gaps and aligning interventions to resolve.
- • Oversee the population specific activities (such as training, awareness through the media, and partnering with various external equity stakeholders), including cultural treatment teams and other cultural community support system activities.
- • Oversee the comprehensive, outcomes-based Cultural Competency Plan that is aligned with CLAS standards and national and regional priorities/initiatives.
- • Manage outreach budget for Cultural Competency programs and sponsorships.
- • Performs other duties as assigned.
- • Complies with all policies and standards.
🎯 Requirements
- • Bachelor’s Degree in Nursing, other related field or equivalent experience required.
- • Master’s Degree preferred.
- • 7+ years of quality management, quality improvement or healthcare operations experience required.
🏖️ 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.
- • 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.
- • Benefits may be subject to program eligibility.
Skills & Technologies
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About Centene Corporation
Centene Corporation is a publicly traded managed-care enterprise that arranges health-benefit programs for government-sponsored and privately insured individuals. Operating across all 50 U.S. states and internationally, the company focuses on under-insured and uninsured populations through Medicaid, Medicare, and Marketplace offerings. Its services include behavioral health, pharmacy benefits, vision, dental, telehealth, and in-house clinical programs. Centene partners with physicians, hospitals, and community organizations to coordinate cost-effective care, emphasizing data analytics and value-based reimbursement models. Headquartered in St. Louis, Missouri, it serves more than 25 million members, positioning itself as a leading intermediary between payers and healthcare providers.
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