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Vice President, Quality & Risk Adjustment Process Improvement

Company: Centene Corporation
Location: Raleigh
Posted on: September 15, 2020

Job Description:

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Vice President Quality Management Jobs in Clayton, MO. Jobs. Jobs. Interviews. Centene3.4?. Vice President, Quality & Risk Adjustment Process Improvement. Responsible for driving provider performance improvement for HEDIS, Stars, State Contract Quality & Pay for Performance/Withhold, Marketplace QRS and Medicare Quality metrics and Risk Adjustment.. Oversee the development and implementation of enterprise wide and market specific process improvement programs related to Quality and Risk Adjustment. Review and present results of quality & Risk Adjustment interventions for clinical and operational performance improvements and identify organizational risks to executive management. Develop and ensure consistent, reliable and valid application of data collection for HEDIS & Risk Adjustment,. Review and analyze cost benefit and return on investment analyses for organizational resource allocation and recommend action plans. Perform other duties as assigned. Develop and oversee enterprise quality and Risk Adjustment improvement programs and strategies for the business unit. Assist in the development and application of the business units strategic mission and vision. Identify and champion the selection of process improvement activities across the enterprise. Education/Experience:. • Bachelors Degree in healthcare or a related clinical field is required. • Minimum of 10 years related experience is required. • Minimum of 3+ years of supervisory/management experience is required. • Experience in Healthcare Operations, including: quality, risk adjustment or process improvement experience is required.. • Experience with the analysis of HEDIS and/or Risk Adjustment performance measures is required. • Up to 15% of travel time will be required. License/Certification:. N/A. 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.. Get alerts to jobs like this, to your inbox.

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Keywords: Centene Corporation, Raleigh , Vice President, Quality & Risk Adjustment Process Improvement, Other , Raleigh, North Carolina

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