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Supervisor, Quality Improvement
Centene Corporation. Supervise and monitor the performance of Quality Improvement Associates supporting Retention activities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Managed Care and Health Insurance concepts, with a strong focus on quality assurance and performance metrics. Proficient in data analysis and project management, with the ability to lead diverse teams and facilitate effective training.
Highest-signal resume keywords
Managed Care ExperienceQuality Assurance StandardsData Analysis and ReportingSupervisory ExperienceMicrosoft Office Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Quality ImprovementPerformance MetricsProject ImplementationData Collection and AnalysisSkill AssessmentTraining FacilitationManaged Care KnowledgeHealth Insurance RegulationQuality Programs KnowledgeBusiness Specifications Writing
Soft Skills
Analytical SkillsProblem-Solving SkillsProfessional CommunicationCultural SensitivityTeam Collaboration
Tools & Technologies
Microsoft ExcelMicrosoft WordMicrosoft AccessLotus NotesInternet Tools
Certifications & Qualifications
Associates Degree or Equivalent
Industry Keywords
Quality AssuranceRetention ActivitiesAudit Performance MetricsCall-Handling ProcessMultiple Lines of BusinessQARRHEDIS
About the role
Key responsibilities & impact- Supervise and monitor the performance of Quality Improvement Associates supporting Retention activities
- Ensure members receive accurate information and standard operating procedures and quality assurance standards are met
- Manage production and conduct effective skill assessments of new and existing staff
- Facilitate training to address identified performance gaps
- Research and use best practices for effective project implementation and outcomes
- Investigate infrastructure tools to optimize productivity and performance
- Supervise a team to meet monthly audit performance metrics
- Identify and overcome obstacles in the call-handling process
- Collect, analyze, and summarize data to prepare reports and recommendations
- Identify training needs and assist Retention Management in maintaining consistent service levels
Requirements
What you’ll need- Must reside in Florida
- AA/AS - Associates Degree or equivalent required
- One to two years managed care experience required
- One to two years related experience required
- One to three years supervisory experience preferred
- Knowledge of multiple lines of business
- Strong knowledge of Managed Care and Health Insurance concepts and regulation
- Proficiency in Microsoft Office: Excel, Word, Access; Lotus Notes; Internet
- Knowledge of various quality programs, including measures associated with QARR and HEDIS
- Ability to lead or coordinate projects within own department
- Ability to manage diverse staff and execute corporate functions effectively
- Ability to communicate professionally and with cultural sensitivity
- Strong analytical and problem-solving skills
- Skilled to communicate with all levels of Management, internal and external customers
- Ability to work well as a member of a team or alone
- Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation