Quality Improvement Specialist II

Centene Corporation

. Assist with daily operations and support within the Quality Improvement department .

Posted 9/15/2026full-timeRemote • Arizona • United StatesMid-LevelSenior💰 $56,200 - $101,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data management and quality improvement processes within healthcare settings, with a strong focus on HEDIS project management and regulatory compliance. Proficient in report generation and analysis, ensuring accuracy and integrity in quality initiatives.

Highest-signal resume keywords

Data Management ExperienceHEDIS Project ManagementQuality ImprovementReport Generation ManagementMS Office Applications

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data CollectionData EntryReport GenerationQuality ManagementProject ManagementData AnalysisProcess ImprovementInter-Rater Reliability AuditsHEDIS AbstractionMedical Records Review

Certifications & Qualifications

Associate's Degree

Industry Keywords

Managed Care OrganizationsQuality ImprovementHEDISNCQA StandardsRegulatory Compliance

About the role

Key responsibilities & impact

Assist with daily operations and support within the Quality Improvement department
Manage the HEDIS project, including nurse assignments, plan timeline adherence, and vendor oversight for timeliness and quality
Assist with data collection, data entry, and report generation for QI initiatives
Support access and availability studies, HEDIS abstraction forms, medical records/site reviews, and member and physician satisfaction studies
Analyze data and write reports for committee discussion
Research and write provider newsletters and educational materials
Conduct interdepartmental inter-rater reliability audits
Design, run, and manage data review processes to ensure report accuracy and integrity
Implement process improvements to streamline departmental functions
Assist the Director, QI with regulatory agency and review organization audits
Perform other assigned duties
Comply with all policies and standards

Requirements

What you’ll need

Associate’s degree in related field or equivalent experience
4+ years of data management experience with a health insurance organization
Experience in a position with accountability for report generation management or project management
Working knowledge of MS Office applications
Candidates must reside in Arizona or Nevada
Experience with Managed Care Organizations (MCO), Quality Management/Improvement, and HEDIS preferred
Experience in quality initiatives, including HEDIS project, study analysis, or NCQA standards, preferred

Benefits

Comp & perks

Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off
Holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity