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Supply Replenisher Associate I
Quest Diagnostics
Clifton, NJ
- $19.41 to $29.12 USD / hour
Supply Replenisher Associate I - Clifton, NJ, Tuesday to Saturday, 6:30 AM to 3:00 PM
Added 1 min ago
CASE MANAGEMENT SUPERVISOR
City of New York
New York City, NY
Under the direction of the Associate Benefits Opportunity Specialist II, the Associate Benefits Opportunity Specialist I (ABOS I) is responsible for supervising a team of BOS staff, who…
Added 1 min ago
Product Manager
City of New York
Brooklyn, NY
…NYC government. The Product Manager will work closely with program owners and cross-functional teams to manage the software product development from conception to…
Added 1 min ago
Contract & Procurement Analyst
City of New York
Long Island City, NY
…responsibility for administering a citywide Section 8 leased housing program that serves over 150,000 additional tenants. NYCHA’s mission is to provide quality housing for New Yorkers that…
Added 1 min ago
Borough Manager
City of New York
New York City, NY
…experience requiring independent decision-making concerning program management or planning, allocation for resources and the scheduling and assignment of work, 18 months of which must have…
Added 1 min ago
Media Services Technician
City of New York
New York City, NY
2. An associate degree from an accredited college or university, accredited by regional, national, professional, or specialized agencies recognized as accrediting bodies by the U.S.…
Added 1 min ago
Procurement Coordinator, Office of the Agency Chief Contracting Officer
City of New York
Long Island City, NY
o a robust Worksite Wellness Program that offers resources and opportunities to keep you healthy while serving New Yorkers.
Added 1 min ago
Disease Intervention Specialist
City of New York
New York City, NY
- Support and participate in quality improvement initiatives, staff meetings and trainings sessions to strengthen program effectiveness and services delivery.
Added 1 min ago
VFC Program Reviewer, Bureau of Immunization
City of New York
Long Island City, NY
…Assistant to work in the Citywide Immunization Registry (CIR) program and the New York City (NYC) Vaccines for Children (VFC) program. The CIR is a central record-keeping system established…
Added 1 min ago
Director of Housing Retention and Stabilization for the Division of Housing Stability
City of New York
New York City, NY
…Opportunity, Tenant and Owner Resources, Housing Stability, Budget and Program Operations, and Program Policy and Innovation. The mission of the Office is to ensure fair, efficient, and…
Added 1 min ago
Procurement Analyst
City of New York
East Elmhurst, NY
2. An associate degree or completion of 60 semester credits from an accredited college or university, and 12 months of satisfactory, full-time professional experience in procurement of…
Added 1 min ago
Digital Support Specialist for the Division of Budget & Program Operations (City HAP Program)
City of New York
New York City, NY
…Opportunity, Tenant and Owner Resources, Housing Stability, Budget and Program Operations, and Program Policy and Innovation. The mission of the office is to ensure fair, efficient, and…
Added 1 min ago
Procurement Analyst
City of New York
New York City, NY
…registrations, and monitor vendor compliance with City’s M/WBE…
Added 1 min ago
Director of Extended Leaves & Benefits
City of New York
New York City, NY
6. Leadership, Program Oversight, and Continuous Improvement
Added 2 mins ago
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Meat/Produce Team Associate
Walmart
SANDUSKY, MI
- $15 to $28 USD / hour
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 2 mins ago
Store Crew
7-Eleven
Marysville, MI
Excellence in cash handling, fuel transactions, and promoting our rewards loyalty program.
Added 2 mins ago
Restaurant Crew
7-Eleven
Davison, MI
…pride in providing exceptional customer service? The Restaurant Associate is an entry level opportunity that is responsible for providing prompt, efficient, safe, and courteous quality food…
Added 2 mins ago
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Meat/Produce Team Associate
Walmart
OWOSSO, MI
- $14 to $27 USD / hour
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 2 mins ago
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Deli/Bakery Team Associate
Walmart
FORT GRATIOT, MI
- $16 to $29 USD / hour
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 2 mins ago
Deli/Bakery Associate
C&S Wholesale Grocers, Inc.
Charlevoix, MI
Package and Label Bakery/Deli Products per program plan
Added 2 mins ago
Personal Shopper, Lead
C&S Wholesale Grocers, Inc.
Marshall, MI
Implement the Company service program(s) and model high standards of service to achieve positive customer satisfaction.
Added 2 mins ago
Cashier
C&S Wholesale Grocers, Inc.
Williamston, MI
Communicate the Company programs (i.e., loyalty program, scans, etc.), in-store specials and coupons to customers, and models high standards of service to achieve a customer oriented store.
Added 2 mins ago
Barista
C&S Wholesale Grocers, Inc.
Williamston, MI
Communicate the Company programs (i.e., loyalty program, scans, etc.), in-store specials and coupons to customers, and models high standards of service to achieve a customer oriented store.
Added 2 mins ago
Automotive Senior Technician
Bridgestone Americas
Southgate, MI
3 years of automotive repair experience, demonstrated skills via third party assessments/certifications, or completion of Vocational-Technical School Program
Added 2 mins ago
OR
Wireless Retail Sales Associate - W1798
OSL Retail Services
CARO, MI
- $17 USD / hour
Benefit from sales incentives, career development opportunities, and an employee referral program.

Centene Management Company LLC

Associate Quality Practice Advisor

Remote, United States

$27.02 to $48.55 USD / hour

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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

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