Accreditation Project Manager Job at Carolina Complete Health, Durham, NC

ZGVoZTQrclJjaVZXM0EvcSs4ZXJWUEg0enc9PQ==
  • Carolina Complete Health
  • Durham, NC

Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.

  • Must reside in NC
  • Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.
  • Develop and maintain accreditation readiness schedule.
  • Creates policy and procedures to support accreditation activities.
  • Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.
  • Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.
  • Coordinate assigned NCQA and HEDIS work plan activities.
  • Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.

Must reside in NC

Education/Experience: Bachelor’s degree in Business, related field or equivalent experience. 3+ years of related quality improvement, HEDIS and/or NCQA experience.

Pay Range: $55,100.00 - $99,000.00 per year

Centene 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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Job Tags

Holiday work, Contract work, Remote job, Flexible hours,

Similar Jobs

MSRcosmos LLC

CITRIXAVD Architect Job at MSRcosmos LLC

 ...policy Administratorlevel skills operating Intune Mobility and Virtualization CITRIX VMware Provide a comprehensive end to end architecture for the stakeholders business and technical requirements Ensuring the solution aligns across the business for people process and... 

TPI Global Solutions

Oracle Database Administrator Job at TPI Global Solutions

 ...Job Title: Oracle Database Administrator (DBA) Location: Atlanta, GA (Hybrid) Duration: 6+ Months Contract with good chances of extension Only W2 Qualifications & Requirements: ~ Responsible for maintaining, upgrading and administering Oracle EBS instances... 

ManTech

Cybersecurity Analyst - Days Job at ManTech

 ...The Cybersecurity Analyst will monitor Air Gapped Security Fabrics through managed SECOPs Tools. Responsibilities...  ...: High School Diploma with 4+ years of experience in Security Operations, Cyber Security, and/or Systems Administration. Experience... 

NC Conference of The United Methodist Church

Chief Financial and Benefits Officer (, HI, United States) Job at NC Conference of The United Methodist Church

The California-Pacific Annual Conference of The United Methodist Church is seeking a Chief Financial and Benefits Officer. The California-Pacific Conference is a regional body of The United Methodist Church, consisting of approximately 50,000 members in nearly 350 local...

Green Key Resources

Job Captain Job at Green Key Resources

 ...One of our clients is seeking a motivated and detail-oriented Architectural Job Captain to join their team on Long Island. This is a hybrid position, offering a balance of remote flexibility and in-office collaboration. Key Responsibilities: Lead the production...