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September 21, 2020  
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Quality Improvement Project Manager

Position Description

Quality Improvement Project Manager

USA-Georgia-Atlanta

Position Purpose: Coordinate and monitor quality improvement and

organizational projects from inception to closure including National

Committee for Quality Assurance (NCQA) and Healthcare Effectiveness

Data and Information Set (HEDIS) preparation.

* Provide functional and technical knowledge for NCQA/HEDIS across

all plan departmental staff and deliver educational sessions to

internal staff and external constituents as needed.

* Coordinate Work Plan, team and resources for HEDIS/Consumer

Assessment of Healthcare Providers and Systems (CAHPS) submission

to Connector Authority and NCQA.

* Analyze data and develop presentations and materials for

committee and articles for newsletters and other educational

pieces.

* Design, run, and manage the data review process to ensure

accuracy and integrity of data reports to meet regulatory and

operational requirements.

* Coordinate and implement interventions to increase HEDIS, CAHPS

and designated health measures for the Plan.

* Adhere to NCQA standards and work with Corporate Director of

Accreditation in maintaining Plan s NCQA accreditation.

* Support the coordination of corporate compliance and external

surveys as needed.

* Monitor the creation of all project deliverables to ensure

adherence to standards including design documents, test plans and

operations documentation.

* Support the project life cycle including requirements gathering,

creation of project plans and schedules, manage resources, support

HEDIS audit process, and facilitate project execution, deployment

and closure.

* Coordinate all data pulls and ongoing data management for HEDIS

and QI project management databases for identified QI projects

with department staff and corporate contacts. Evaluate sources for

alternative data capture; assess ongoing methodology and results.

* Maintain detailed project documentation including meeting

minutes, action items, issues lists and risk management plans.

Education/Experience: Bachelor s degree in Healthcare, Business or

equivalent experience. Master's in Public Health or related field

preferred. 4+ years of quality improvement or project management

experience in managed care with advanced knowledge of HEDIS and NCQA.

Proficiency required in Microsoft applications including PowerPoint,

Excel and Access.

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.

Full-time



Additional Information

Employment Type: Full-Time    
Position Location: Atlanta, Georgia


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