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 Florida
Position 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.
Education/Experience: Bachelor’s degree or equivalent required. 3+ years of experience in HEDIS record collection and risk adjustment (coding).
License/Certification: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.
...turn leads to a better experience for our customers. Were constantly working to improve... ...customer points of contact while onsite or remote. At times they will work assigned... ... Must demonstrate excellent customer service skills. Strong telephone and verbal...
...Reports directly to the Oxygen Delivery Manager. Become familiar... ...that route, to deliver home medical equipment, oxygen, and supplies... ...EMT and/or Medical Delivery Driver experience preferred. ~ Excellent... ...with Disabilities The contractor will not discharge or in any...
...and Part-Time positions are available, with the option to work from the comfort of your home. We offer FREE TRAINING. What are you waiting for?... ...is not just a job; it's an opportunity to shape your future and success as an independent financial services agent!**...
...Job Description Tact Staff is seeking a travel nurse RN Case Manager, Acute Care Case Management for a travel nursing job in San... ...experience with knowledge of post-acute levels such as Home Health, Hospice, Palliative Care, SNF, LTAC, B&C, Sub-Acute and Acute rehab...
...in a trainee capacity in activities pertaining to professional accounting work; and performs other related duties as required.... ...Requirements MINIMUM QUALIFICATION REQUIREMENTS Training & Experience: A combination of education and experience substantially equivalent...