Supervisor, Quality Improvement

Job description

Position Purpose

Supervise and monitor the performance of Quality Improvement Associates who support all Retention activities to ensure that members receive accurate information and that the standard operating procedures and quality assurance standards are met. Manage the production of the Quality Improvement Associates ensuring effective skill assessment of new and existing staff and to facilitate training to address the gaps identified.

Research and use best practices to achieve effective project implementation and outcomes. Investigate exploitation of infrastructure tools to optimize productivity and performance. Collect, analyze, and summarize data to prepare reports and make recommendations.

Key Details

Must reside in Florida. Knowledge of multiple lines of business. HEDIS background highly preferred. Supervise a team of Quality Improvement Associates to meet monthly audit performance metrics. Follow organization standards to maintain quality service. Identify obstacles in the call handling process and effectively prevent, resolve and overcome those obstacles. Identify the training needing to improve performance and provide assistance to Retention Management to ensure consistent levels of service.

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. Managing diverse staff; execute corporate function effectively; ability to communicate professionally and with cultural sensitivity.

Business Analysis Knowledge

Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.

Customer Service

Skilled to communicate with all levels of Management, internal and external customers. Ability to work well as a member of a team or alone.

Effective Business Communication

Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.

Education/Experience

AA/AS - Associates Degree or equivalent required. One to two years managed care experience required; knowledge of the industry and terminology. One to three years Supervisory experience preferred. One to two years related experience required.

Pay Range

$70,100.00 - $126,200.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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. 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