Jobs for Humanity is partnering with Centene Medicare to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Centene Medicare

Join our team and make a difference in the lives of 28 million people! Centene is dedicated to improving community health one person at a time. We offer competitive benefits and value workplace flexibility.

Location: Must reside in CT
Position Type: Hybrid, with 20% travel

Position Purpose: Help providers improve their quality of care by sharing important performance data and collaborating on improvement strategies. Educate providers on healthcare quality measures, documentation guidelines, and member experience. Support providers in addressing performance barriers and implementing best practices to enhance quality.

• Connect with providers, provide resources, and help educate them on quality measures and member experience.
• Collaborate with Provider Relations and other teams to improve provider performance in quality measures.
• Maintain positive relationships with providers from different product lines (Medicare, Medicaid, Ambetter).
• Reach out to members via phone to encourage them to visit physicians and close care gaps.
• Perform other assigned duties.

Education/Experience: High school diploma or equivalent. Associate’s degree preferred. At least 2 years of experience in clinical and member experience quality. Basic knowledge of Excel, Word, and PowerPoint.

License/Certification: Driver’s License required. Preferred certifications: Pharmacy Technician, Medical Assistant, Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure.

Benefits:

• Flexible work options including remote work, hybrid schedules, and dress flexibility.
• Competitive pay and paid time off, including holidays.
• Health insurance for you and your dependents.
• Access to 401(k) and stock purchase plans.
• Tuition reimbursement and training opportunities.

Pay Range: $18.27 - $31.10 per hour

Actual pay will depend on skills, experience, education, and other factors permitted by law.

Centene is an equal opportunity employer that values diversity and appreciates our differences. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.

--- Your Response:

Hello,

Thank you for sharing this job opportunity with us. We are committed to ensuring equal access and inclusion for all individuals, regardless of their background or abilities. Here is a simplified summary of the job ad and a well-formatted response:

• Position: Quality Improvement Specialist
• Location: Must be a resident of CT
• Type: Hybrid position with 20% travel
• Responsibilities:
• Connect with healthcare providers to improve the quality of care.
• Share performance data and collaborate on improvement strategies.
• Educate providers on quality measures and member experience.
• Support providers in addressing performance barriers and implementing best practices.
• Maintain positive relationships with providers from different product lines.
• Reach out to members via phone to encourage necessary visits to physicians.
• Requirements:
• High school diploma or equivalent.
• Associate’s degree preferred.
• Minimum 2 years of experience in clinical and member experience quality.
• Basic knowledge of Excel, Word, and PowerPoint.
• Driver’s License required.
• Preferred certifications: Pharmacy Technician, Medical Assistant, Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure.
• Benefits:
• Flexible work options, including remote work.
• Competitive pay and paid time off, including holidays.
• Health insurance coverage for you and your dependents.
• Access to 401(k) and stock purchase plans.
• Tuition reimbursement and training opportunities.
• Pay Range: $18.27 - $31.10 per hour
• Equal Opportunities: Centene values diversity and ensures equal opportunities for all applicants.

Please let us know if you have any further questions or need more information. We are here to assist you throughout the application process.

Best regards,
[Your Name]