Job Overview
Location
Remote-MO
Job Type
Full-time
Category
Operations
Date Posted
May 7, 2026
Full Job Description
đź“‹ Description
- • Lead and direct process improvement initiatives by utilizing process improvement methodologies in the analysis of current operations and design of 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 including HEDIS audit timelines and deliverables.
- • Serve as 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 costs and benefits of process effectiveness and efficiency.
- • Ensure 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.
- • As a diversified, national organization transforming the health of communities, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
- • Applicants for this job have the flexibility to work remote from home anywhere in the United States.
🎯 Requirements
- • Bachelor’s Degree in a related field
- • 6+ years of quality and process improvement experience
- • Healthcare industry experience preferred
- • Knowledge of research methodologies including measures and outcomes
- • Knowledge of process mapping, process design, and workflow management software and applications
- • Experience with NCQA HEDIS measures or audit processes highly preferred
🏖️ 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
Skills & Technologies
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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