Provider Quality Liaison - #9754663

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

Are you ready to make a difference in the lives of millions of people? Centene is dedicated to improving the health of our communities, one person at a time. We are a national organization that believes in workplace flexibility and offers competitive benefits. We welcome individuals from all backgrounds, including the elderly, refugees, people with disabilities (both visible and invisible), LGBTQIA+ community, and veterans.

Position: Quality Improvement Coordinator

Location: Tennessee

Job Purpose: Your role will be to connect with healthcare providers and collaborate on quality improvement initiatives. You will work closely with provider offices and internal partners to address performance barriers, share best practices, and ensure quality standards are met.

Responsibilities:

• Work with providers to educate them on healthcare quality measures and documentation guidelines
• Provide ongoing support and guidance to providers for quality improvement
• Collaborate with different teams to enhance provider performance in clinical and member experience measures
• Develop and maintain strong relationships with providers across different product lines
• Reach out to members via phone to encourage regular visits to healthcare providers
• Perform other assigned duties as needed

Requirements:

• High school diploma or equivalent experience (Associate's degree preferred)
• At least 2 years of experience in clinical and member experience quality
• Intermediate knowledge of Excel, Word, and PowerPoint
• Valid driver's license
• Preferred licensure: Pharmacy Technician, Medical Assistant, Licensed Vocational Nurse, Licensed Practical Nurse, Social Work

Our Benefits Package:

• Flexible work options, including remote and 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 ongoing training and development opportunities

Centene is committed to diversity and equal opportunity:

We value and celebrate our differences. We are an equal opportunity employer, which means that 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 any other characteristic protected by applicable law.