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Manager, Quality Improvement Analytics

Company: Centene Corporation
Location: Cicero
Posted on: August 16, 2019

Job Description:

Position Purpose: Manage and develop data necessary to analyze trends over various timeframes. Manage the data mining process and analysis using internally supported database programs. Collaborate with various departments and other key business units to identify areas for process improvement initiatives.

  • Manage staff to ensure the accuracy and timeliness of data requests
  • Evaluate reports produced by the Quality Initiative (QI) Department and other various departments for trends and opportunities for improvement
  • Mange the design of tools and databases to capture and track data, methodologies, findings and analysis and ensure data collection/extractions, analysis and submissions meet regulatory compliance requirements
  • Monitor data and information to assist QI department staff members in improving HEDIS and other required measures
  • Research and establish benchmarks and statistics for quality measures
  • Develop, prepare and present reports on quality programs and issues to both internal and external stakeholders
  • Evaluate and test new or modified programs and procedures used to verify that QI functions and conforms to established guidelines
    Education/Experience: Bachelor's degree in Business, Computer Science, Nursing, or other health care related field. 3+ years of related analytical experience in managed health care, Medicare or Medicaid. Experience with concepts of information management and an in depth knowledge of medical terminology, coding issues and practices, including ICD-9, CPT4, HCPCS Level II. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

    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.

Keywords: Centene Corporation, Cicero , Manager, Quality Improvement Analytics, Executive , Cicero, Illinois

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