Jobs in the United States

25+ jobs

Save this search

Added 3 mins ago
Registered Nurse - Primary Care PACT Community Based Outpatient Clinic (CBOC)
Veterans Affairs, Veterans Health Administration
Jay, OK
Added 3 mins ago
A
Cybersecurity Manager - Utilities Industry
Accenture
Oklahoma City, OK
- $94,400 to $293,800 USD / year
As a team member, you’ll be part of a Utilities industry team focused on applying cybersecurity expertise across the utility value chain - from generation, transmission, and distribution to…
Added 3 mins ago
A
Epic Payer Platform Lead
Accenture
Oklahoma City, OK
- $94,400 to $266,300 USD / year
Take end user information to create a very detailed scope and get sign off from the Operations team. Translating business requirements into Epic-native configuration in real time.
Added 3 mins ago
Technology Delivery Lead - Energy
Accenture
Oklahoma City, OK
…domains, including: Subsurface, Wells & Drilling, Production Operations, Reservoir & Asset Management, Energy Data Management, Capital Projects, and…
Added 6 mins ago
S
Production Associate
Staffmark
Fernley, NV
- $17 to $30 USD / hour
The Production Associate supports manufacturing operations by performing production tasks that help create quality finished products. This role requires attention to detail, strong work…
Added 15 mins ago
Retail Warehouse Associate
Best Buy
Rockford, IL
…your LOA depends on your situation, where you live, your full-time or part-time employment status, and federal and state regulations. Intermittent or reduced-schedule leave is also…
Added 17 mins ago
Seasonal Associate
Sephora
Corpus Christi, TX
As a Seasonal Associate, you'll be responsible for providing an outstanding client experience by supporting both store operations and onstage service during peak business moments. You'll…
Added 21 mins ago
Concierge-Breakfast Attn
Wayne, NJ
Support front office operations and guest communications as needed.
Added 24 mins ago
CR
Associate Business Analyst
Claritas Rx
Remote, United States
- $60,000 to $70,000 USD / year
As a member of the Delivery and Operations team, the Associate BA is responsible for executing implementation configuration work, conducting rigorous internal QA, and ensuring that nothing…
Added 28 mins ago
Maintenance Technician
GRAND GENEVA, LLC
LAKE GENEVA, WI
…Timber Ridge Lodge & Waterpark, you will maintain optimal hotel operations by promptly addressing guest and associate maintenance requests, performing preventative maintenance, and ensuring…
Added 29 mins ago
Assistant Manager - Optical
America's Best
West Allis, WI
America's Best is part of National Vision, one of the largest optical retailers in the United States. The America’s Best brand continues to grow with over 1,000 stores and counting. Each…
Added 29 mins ago
B
Retail Front End Supervisor - Full-Time
Burlington
Eau Claire, WI
- $16 to $18 USD / hour
- Full-time
As a Retail Front End Supervisor, you’ll be an integral part of the store leadership team, working closely with Store Management in the areas of Merchandising, Customer Service, Operations,…
Added 29 mins ago
B
Retail Stocking Team Supervisor - Full-Time
Burlington
Eau Claire, WI
- $16 to $18 USD / hour
- Full-time
As a Retail Stocking Team Supervisor, you’ll be an integral part of the store leadership team, working closely with Store Management while being the main leader and director of the Back of…
Added 29 mins ago
AB
Sales Associate – Optical - Part Time
America's Best
Green Bay, WI
- Part-time
As a Sales Associate, you’ll play a key role in delivering an exceptional experience for our customers while supporting store operations and sales goals.
Added 29 mins ago
Mgr of Safety and Security
UnityPoint Health
Madison, WI
The Security Supervisor is responsible for leadership and oversight within Security Services and Parking Services operations. This includes, but is not limited to, managing crisis…
Added 33 mins ago
Bakery Clerk
Albertsons Companies
PACIFICA, CA · Pacifica, CA
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 33 mins ago
Baker
Albertsons Companies
DENVILLE, NJ · Denville, NJ
…bakery team members to plan daily production needs and keep operations running…
Added 33 mins ago
Fresh Cut Produce Clerk
Albertsons Companies
BOULDER, CO · Boulder, CO
· Multitasking & Time Management: Capable of juggling multiple tasks efficiently in a fast-paced environment.
Added 33 mins ago
Fresh Cut Produce Clerk
Albertsons Companies
IRVING, TX · Irving, TX
· Multitasking & Time Management: Capable of juggling multiple tasks efficiently in a fast-paced environment.
Added 33 mins ago
Fresh Cut Produce Clerk
Albertsons Companies
GOODYEAR, AZ · Goodyear, AZ
· Multitasking & Time Management: Capable of juggling multiple tasks efficiently in a fast-paced environment.
Added 33 mins ago
Starbucks Barista
Albertsons Companies
AUBURN, CA · Auburn, CA
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 33 mins ago
Bakery Clerk
Albertsons Companies
BEDFORD, TX · Bedford, TX
The Bakery Clerk plays a key role in the day to day bakery operations. This position involves preparing dough, glazing pastries, and assisting with baking tasks from start to finish.…
Added 33 mins ago
Starbucks Barista
Albertsons Companies
BAKERSFIELD, CA · Bakersfield, CA
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 33 mins ago
Starbucks Barista
Albertsons Companies
LAS VEGAS, NV · Las Vegas, NV
Customer interaction is a key part of the role; you’ll greet customers, take orders, answer questions, and help make each visit a positive experience. Whether it’s a regular stopping by or…
Added 43 mins ago
Retail Warehouse Associate
Best Buy
Gurnee, IL
…your LOA depends on your situation, where you live, your full-time or part-time employment status, and federal and state regulations. Intermittent or reduced-schedule leave is also…

Centene Management Company LLC

Associate Quality Practice Advisor

Remote, United States

$27.02 to $48.55 USD / hour

Apply About employer

Applications open in a new tab.

Job details

Pay: $27.02 to $48.55 USD / hour
Apply by: Nov 12, 2026
Posting language: English
Posted: Nov 4, 2026

Original job description

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

Apply About employer

Report this job