Supervisor, Quality Improvement

atCentene CorporationRemoteUS flagFloridaFull-timeUncategorizedJunior$70.1k – $126.2k/year

Posted 5 days ago

This is a fully remote position, open to applicants in Florida.

πŸ“‹ Description

β€’ Oversee and evaluate the performance of Quality Improvement Associates involved in Retention initiatives.

β€’ Ensure that members are provided with accurate information while adhering to standard operating procedures and quality assurance standards.

β€’ Manage productivity and perform effective skill assessments for both new and existing personnel.

β€’ Conduct training sessions to address any identified performance deficiencies.

β€’ Research and implement best practices to achieve successful project outcomes.

β€’ Investigate tools and infrastructure to enhance productivity and performance.

β€’ Lead a team to achieve monthly audit performance metrics.

β€’ Identify and resolve challenges in the call-handling process.

β€’ Collect, analyze, and summarize data for the preparation of reports and recommendations.

β€’ Assess training requirements and support Retention Management in sustaining consistent service levels.


⛳️ Requirements

β€’ Must be a resident of Florida.

β€’ AA/AS - Associate's Degree or equivalent is required.

β€’ One to two years of experience in managed care is necessary.

β€’ One to two years of related experience is required.

β€’ One to three years of supervisory experience is preferred.

β€’ Familiarity with multiple lines of business is essential.

β€’ Strong understanding of Managed Care and Health Insurance concepts and regulations is required.

β€’ Proficient in Microsoft Office applications: Excel, Word, Access; Lotus Notes; and Internet.

β€’ Knowledge of various quality programs, including metrics associated with QARR and HEDIS.

β€’ Capability to lead or coordinate projects within the department.

β€’ Ability to manage a diverse workforce and effectively execute corporate functions.

β€’ Skillful in professional communication with cultural sensitivity.

β€’ Strong analytical and problem-solving abilities.

β€’ Proficient in communicating with all levels of management and both internal and external customers.

β€’ Ability to work effectively both as part of a team and independently.

β€’ Skilled in crafting effective business specifications and requirements for both technical and business audiences.


🏝️ Benefits

β€’ Competitive salary.

β€’ Health insurance coverage.

β€’ 401K plan.

β€’ Stock purchase options.

β€’ Tuition reimbursement program.

β€’ Paid time off in addition to holidays.

β€’ Flexible work arrangements including remote, hybrid, field, or office schedules.

β€’ Additional incentives may be included in the overall compensation package.

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