Meridian
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Quality Program Strategist
role at
Meridian .
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose Plans, organizes, and monitors quality related projects to deliver defined requirements and meet company strategic objectives.
Responsibilities
Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan programs, including the determination of the appropriate target population, health program design, marketing of the program, and data systems; recommend quality improvements to achieve goals, including updates to programs and processes
Create quality risk assessments and develop processes for health plans to achieve quality metrics
Utilize Lean 6 Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics
Collaborate through ad hoc initiative requests and scorecard review to support initiative development and implementation
Create, maintain and facilitate quality improvement health plan training
Perform other duties as assigned
Comply with all policies and standards
Additional Responsibilities Candidate in this role will be responsible for writing accreditation reports for NCQA.
This position is open to candidates located in Michigan or other parts of the country. Candidates must be able to work in Eastern Time Zone hours.
Education & Experience Associate’s degree in Nursing, Public Health, or related clinical field, or equivalent experience. 2+ years clinical experience or managed care health insurance experience required; 1+ year quality experience preferred.
License/Certification Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker preferred; CPHQ preferred.
Pay Range $55,100.00 - $99,000.00 per year
Benefits Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a 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, including full‑time or part‑time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Equal Opportunity Statement 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
Seniority Level Not Applicable
Employment Type Full‑time
Job Function Business Development and Sales
Industries Hospitals and Health Care and Insurance
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Quality Program Strategist
role at
Meridian .
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose Plans, organizes, and monitors quality related projects to deliver defined requirements and meet company strategic objectives.
Responsibilities
Support enterprise-wide quality initiatives by analyzing and researching potential issues within quality metrics and goals of health plan programs, including the determination of the appropriate target population, health program design, marketing of the program, and data systems; recommend quality improvements to achieve goals, including updates to programs and processes
Create quality risk assessments and develop processes for health plans to achieve quality metrics
Utilize Lean 6 Sigma methodologies to identify potential problems and resolutions with enterprise-wide priority metrics
Collaborate through ad hoc initiative requests and scorecard review to support initiative development and implementation
Create, maintain and facilitate quality improvement health plan training
Perform other duties as assigned
Comply with all policies and standards
Additional Responsibilities Candidate in this role will be responsible for writing accreditation reports for NCQA.
This position is open to candidates located in Michigan or other parts of the country. Candidates must be able to work in Eastern Time Zone hours.
Education & Experience Associate’s degree in Nursing, Public Health, or related clinical field, or equivalent experience. 2+ years clinical experience or managed care health insurance experience required; 1+ year quality experience preferred.
License/Certification Registered Nurse, Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker preferred; CPHQ preferred.
Pay Range $55,100.00 - $99,000.00 per year
Benefits Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a 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, including full‑time or part‑time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Equal Opportunity Statement 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.
Seniority Level Not Applicable
Employment Type Full‑time
Job Function Business Development and Sales
Industries Hospitals and Health Care and Insurance
#J-18808-Ljbffr