Quality Improvement Specialist (HEDIS)
- Full-time
- Company: Oklahoma Complete Health
Company Description
Jobs for Humanity is partnering with Oklahoma Complete Health 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: Oklahoma Complete Health
Company Name: Oklahoma Complete Health
Job Description
You could be the one to make a difference in the lives of our 28 million members. Centene is working to improve the health of our communities, one person at a time. As a national organization, we offer competitive benefits and flexibility in the workplace.
**Please note: Applicants must live in Oklahoma.**
Oklahoma Complete Health, a Centene company, is dedicated to providing quality healthcare solutions to improve the health of people in Oklahoma.
At Oklahoma Complete Health, we believe in creating an inclusive culture that values work-life balance, offers competitive compensation, and supports continuous career development. Join our collaborative and growing network of innovative thinkers who are making a difference at the local level.
**Position Purpose:**
- Support the development and maintenance of quality improvement projects related to HEDIS Hybrid Operations.
- Provide clinical support for medical record review and abstraction processes.
- Train providers, health plans, and staff on continuous quality improvement methodologies and HEDIS abstraction processes.
- Monitor performance on quality indicators and analyze trends.
- Participate in meetings with committees, state agencies, providers, and stakeholders.
- Develop and implement quality performance improvement plans with management.
**Education/Experience:**
- Bachelor’s degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA), or equivalent experience.
- 3+ years of related healthcare experience.
- Registered Nurse certification preferred.
- Certified Professional in Health Care Quality preferred.
**License/Certification:**
- Registered Nurse preferred.
- Certified Professional in Health Care Quality preferred.
**Our Comprehensive Benefits Package:**
- Flexible work options including remote work, hybrid 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 top-quality training and development opportunities.
Centene is an equal opportunity employer that values diversity and the unique contributions we each bring. 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 protected characteristics under applicable law.
If you are interested in this position, please respond to this email with your resume attached and answer the following questions in your response:
1. Are you currently living in Oklahoma?
2. Do you have a Bachelor's degree in Nursing, Healthcare, or Quality?
3. How many years of healthcare experience do you have?
4. Do you have any certifications in Health Care Quality or as a Registered Nurse?
5. What is your availability for a phone interview?