Quality Practice Advisor
Company: Centene Medicare
Location: Auburn
Posted on: November 20, 2023
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Job Description:
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: Establishes and fosters a healthy working
relationship between large physician practices, IPAs and Centene.
Educates providers and supports provider practice sites regarding
the National Committee for Quality Assurance (NCQA) HEDIS measures
and risk adjustment. Provides education for HEDIS measures,
appropriate medical record documentation and appropriate coding.
Assists in resolving deficiencies impacting plan compliance to meet
State and Federal standards for HEDIS and documentation standards.
Acts as a resource for the health plan peers on HEDIS measures,
appropriate medical record documentation and appropriate coding.
Supports the development and implementation of quality improvement
interventions and audits in relation to plan providers.
License/Certification:
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT,
LVN, RN, APRN, HCQM, CHP, CPHQ.
Our Comprehensive Benefits Package: Flexible work solutions
including remote options, hybrid work schedules and dress
flexibility, Competitive pay, Paid time off including holidays,
Health insurance coverage for you and your dependents, 401(k) and
stock purchase plans, Tuition reimbursement and best-in-class
training and development.
Pay Range: $25.44 - $45.76 per hour
Actual pay will be adjusted based on an individual's skills,
experience, education, and other job-related factors permitted by
law.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 Medicare, Auburn , Quality Practice Advisor, Other , Auburn, Washington
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