Healthcare Quality Advisor
Company: Sunshine State Health Plan
Location: Orlando
Posted on: October 9, 2024
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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.
Hybrid Position: 50 - 75% travel in the Orlando areaService Area:
Central FloridaPosition 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, CPC, CBCS.Pay Range: $25.97 -
$46.68 per hourCentene offers a comprehensive benefits package
including: competitive pay, health insurance, 401K and stock
purchase plans, tuition reimbursement, paid time off plus holidays,
and a flexible approach to work with remote, hybrid, field or
office work schedules. Actual pay will be adjusted based on an
individual's skills, experience, education, and other job-related
factors permitted by law. Total compensation may also include
additional forms of incentives.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: Sunshine State Health Plan, Ocala , Healthcare Quality Advisor, Healthcare , Orlando, Florida
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