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    • Quality Improvement Coordinator II - WILLCOX - Arizona Complete Health

    Arizona Complete Health
    Arizona Complete Health WILLCOX

    4 days ago

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    Description

    About Us

    We are transforming the health of our communities, one person at a time. Our mission is to provide innovative solutions that improve healthcare and benefit people's lives.

    Job Summary

    This role is crucial in ensuring we deliver high-quality services to our 28 million members. The successful candidate will be responsible for coordinating and monitoring quality improvement projects from inception to closure.

    Key Responsibilities

    • Collaborate with the Director of Accreditation to ensure Plan compliance with NCQA/URAC standards.
    • Maintain Quality Improvement policies and procedures in accordance with NCQA/URAC requirements.
    • Identify best practices, research new processes, and recommend overall program enhancements.
    • Support the project life cycle, including requirements gathering, project planning, resource management, and facilitation of project execution, deployment, and closure.
    • Assist with data collection and presentation for identified QI projects.

    Requirements

    To be successful in this role, you will need:

    • Bachelor's degree in Nursing or a related medical field.
    • 3+ years of clinical experience and 1+ year of experience in a quality function.
    • Hands-on experience with Microsoft Excel and Access applications.
    • A basic understanding of health insurance business, claims payment procedures, strategies, and trends in healthcare.

    Benefits

    We offer a comprehensive benefits package, including:

    • Competitive pay.
    • Health insurance.
    • 401K and stock purchase plans.
    • Tuition reimbursement.
    • Paid time off plus holidays.
    • A flexible approach to work with remote, hybrid, field, or office work schedules.

    About Us

    Centene is an equal opportunity employer committed to diversity. We value the ways in which we are different and welcome applicants from diverse backgrounds. 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.

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