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RH
Hospice Volunteer Coordinator - Part Time
Redcrest Hospice LLC
Lafayette, IN
- Part-time
…care and support of patients, families, and administrative operations, ensuring that volunteer services are compliant with regulatory standards and aligned with the mission of the…
Added just now
RH
Hospice Volunteer Coordinator - Part Time
Redcrest Hospice LLC
Indianapolis, IN
- Part-time
…care and support of patients, families, and administrative operations, ensuring that volunteer services are compliant with regulatory standards and aligned with the mission of the…
Added 1 min ago
Non Tenure-Track Assistant or Associate Professor
West Virginia School of Osteopathic Medicine
WV
The successful candidate must hold a Ph.D., D.O., M.D., Pharm.D., D.N.P., DPT, or equivalent credential
Added 1 min ago
S
Fund Accounting, Senior Associate
SSB&T
Sacramento, CA
- $52,000 to $84,760 USD / year
As part of our current expansion of operations in Ireland (Kilkenny) we are looking for an experience fund accounting professional to join the Fund Accounting Group management team. This…
Added 1 min ago
Retail Supervisor
Columbia Brands USA, LLC.
Fort Worth, TX
Provide direction and guidance, training, and coaching to associate-level team members to ensure efficient and effective operations and proper store procedures to support the overall…
Added 2 mins ago
KG
Maintenance Technician - 12 Hr Weekend Day Shift
Kerry Group
Byesville, OH
- $32 USD / hour
Our Byesville, OH plant is an integral part of our Beverage division, dedicated to processing and packaging fruit-based juice mixes, syrups, extracts, and other liquid ingredients. Kerry is…
Added 2 mins ago
Associate Program Manager - Education Specialist Schools - K-12 Focus
Ochsner Clinic Foundation
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Store Associate Rx
New Jersey CVS Pharmacy, L.L.C.
Stratford, NJ
Must have the ability to perform the following tasks: Customer Service
Added 2 mins ago
Store Associate Rx
New Jersey CVS Pharmacy, L.L.C.
Stratford, NJ
Must have the ability to perform the following tasks: Customer Service
Added 2 mins ago
NH
Medical Assistant, Internal Medicine
Newton-Wellesley Hospital
United States
- $22.75 to $24.94 USD / hour
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Added 2 mins ago
Housekeeper - Club Wyndham Elysian Beach Resort
United States
A Housekeeper will support general resort operations by cleaning resort units and maintaining resort quality standards. This individual will be responsible for cleaning the resort units to…
Added 3 mins ago
REFERRAL COORDINATOR - Cardiology Clinic
Carilion Medical Center
Roanoke, VA
Education: Associate degree or equivalent combination of education or equivalent 4 years of experience required · Virginia MLTSS (UAI) Certification required to complete orientation and must be maintained throughout employment
Added 3 mins ago
FA
Overnight Receiving Associate
Floor and Decor Outlets of America, Inc.
Albuquerque, NM
- From $15.55 USD / hour
The Receiving Associate is responsible for assisting in the warehouse operations of the retail store. In addition, the Receiving Associate is responsible for unloading, auditing, and…
Added 3 mins ago
FA
Inventory Control Specialist
Floor and Decor Outlets of America, Inc.
Knoxville, TN
- From $15.24 USD / hour
Must possess excellent customer service skills and work well under pressure
Added 3 mins ago
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Lead Developer
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- $113,100 to $169,700 USD / year
…growth through technology, strategy, design, execution and operations with a customer-first mindset for bold business leaders. We deliver cloud, data and customer experience solutions. Our…
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Lead Retail Sales Associate (Key Holder)
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Added 5 mins ago
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Retail Sales Associate – Part Time
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…They play a vital role in driving sales, maintaining store operations, and fostering a positive, knowledgeable retail…
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A
Retail Sales Associate – Part Time
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- Part-time
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Retail Sales Associate – Part Time
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Retail Sales Associate – Part Time
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Centene Corporation

Associate Quality Practice Advisor

Lansing, MI, United States

$27.02 to $48.55 USD / hour · Full-time

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Job details

Pay: $27.02 to $48.55 USD / hour
Job type: Full-time
Posting language: English
Posted: Nov 5, 2026

Original job description

Business Area: Administrative & Claims Operations

Job Type: Full time

Position Purpose: Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. 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.

Key Details :Centene is hiring an Associate Quality Practice Advisor to partner with providers across Southwest Michigan. The ideal candidate will have strong quality experience, including presenting to and partnering with providers, and will be based in Berrien, Cass, St. Joseph, Van Buren, Kalamazoo, or Calhoun County. This role requires up to 50% travel .

Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.
Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement.
Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
Assists in delivering provider specific metrics and coaches providers on gap closing opportunities.
Assists in identifying specific practice needs where WellCare can provide support.
Partners with physicians/physician staff to find ways to encourage member clinical participation in wellness and education.
Provides resources and educational opportunities to provider and staff.
Captures concerns and issues in action plans as agreed upon with provider.
Documents action plans and details of visits and outcomes.
Reports critical incidents and information regarding quality of care issues.
Communicates with external data sources as needed to gather data necessary to measure identified outcomes.
Provides communication such as newsletter articles, member education, outreach interventions and provider education.
Supports quality improvement HEDIS and program studies as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.
Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements.
Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline.
Enter documentation of findings in identified databases and ensure accuracy in medical records for data collection, DE and reporting.
Performs other duties as assigned.
Complies with all policies and standards

Education/Experience:

Required A Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field or equivalent work experience within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to perform the role. Preferred: A Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff OR 2 years medical coding or other transferable experience and skill set combination that demonstrates the ability to learn and perform the level of the position.

A license in one of the following is preferred: Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor (LMHC), Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) (ACNP-BC), Other Foreign trained physician/MD, Health Care Quality and Management (HCQM), Certified Healthcare Professional (CHP), Certified Professional in Healthcare Quality (CPHQ).

Pay Range: $27.02 - $48.55 per hour

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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

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More about this job

Skills

Documentation
CPT
Gather data
Communication skills
Reporting
Medical coding
LPN
Mental health
RN
Acute care
NP
Mentor individuals

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Work requirements

Jobs in the United States