Job Details
Location:
Lenexa, Johnson County, Kansas, USA
Posted:
Nov 08, 2019
Job Description
Position Purpose:Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes
Provide clinical support to the medical record abstraction, over-read and audit processes
Monitor performance on established contractual quality indicators. Analyze, track and trend results
Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders
Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model. Monitor and report PIPs progress through closure.
About Centene
Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.
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