Healthcare Quality Advisor
Company: Sunshine State Health Plan
Location: Miami
Posted on: September 30, 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.
Qualified candidates must reside in 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:
Drivers license and one of the following clinical licensure
required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM,
CHP, CPHQ, CPC, CBCS.Sunshine Health Plan: OB experience
preferred
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.
Qualified applicants with arrest or conviction records will be
considered in accordance with the LA County Ordinance and the
California Fair Chance Act
Keywords: Sunshine State Health Plan, Miami , Healthcare Quality Advisor, Other , Miami, Florida
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