Skip to content
Manager – Quality Improvement
| Company | Centene |
|---|
| Location | California, USA |
|---|
| Salary | $86000 – $154700 |
|---|
| Type | Full-Time |
|---|
| Degrees | Bachelor’s |
|---|
| Experience Level | Mid Level, Senior |
|---|
Requirements
- Bachelor’s degree in related field or equivalent experience
- 3+ years clinical, quality management or healthcare related experience
- 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care
- Current state registered nursing license preferred
- Certain states may require a formal certification in quality improvement, risk management, or another parallel field
- Certified Professional in Healthcare or other licensed clinical experience preferred
Responsibilities
- Oversee and manage the functions of the quality improvement program
- Review and analyze reports, records and directives
- Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered
- Verify data to be submitted in accordance with government program requirements and ensure compliance with state, federal and certification requirements
- Prepare reports and records on work function activities for management
- Oversee the review and analysis of reports
- Evaluate current procedures and practices for accomplishing the assigned work functions objectives
- Collaborate with appropriate departments to document, investigate and resolve formal or informal complaints and appeals
- Monitor and analyze costs and participate in the preparation of the budget
Preferred Qualifications
- Current state registered nursing license preferred
- Certain states may require a formal certification in quality improvement, risk management, or another parallel field
- Certified Professional in Healthcare or other licensed clinical experience preferred
