Centene Corporation Process Improvement Specialist (Clinical) in Baton Rouge, Louisiana

ProfessionalPosition Purpose: Plan, develop and track process improvement and operational projects related to clinical outcomes for products and ensure integration with delivery systems including service/care coordination

  • Serve as the primary subject matter expert for clinical health outcomes

  • Review of all clinical member materials, including service coordination brochures, handbook references, and educational leaflets

  • Serve as a liaison for all clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures

  • Evaluate the analysis and responses on all quality measures including, performance development and reporting, and provide recommendations

  • Review member survey results from internal as well as external sources for implications to operations and make recommendations for process improvements accordingly

  • Collaborate with analytics team on identified process improvement reporting and scheduling

Education/Experience: Bachelor’s degree in Healthcare, related field, or equivalent experience. 5+ years of process improvement experience, preferably in a managed care environment. Experience in project coordination preferred.

Experience with NCQA highly preferred.

CPHQ or Lean Six Sigma certified highly preferred.

License/Certificates: Current state’s RN. Driver's license preferred.

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.

TITLE: Process Improvement Specialist (Clinical)

LOCATION: Baton Rouge, Louisiana

REQNUMBER: 1117965

COMPANY: Clinical & Nursing

POSITION TYPE: Professional