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Patient Care Technician - Behavioral Unit (BHI) - St. Rita's Medical Center
Bon Secours Mercy Health
Lima, OH
Must have completed one of the following for BSMH locations: (required) · Must have completed one of the following for Roper St
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Engineering Manager, Materials Engineering
Aalo Atomics
Idaho Falls, ID
This role balances people leadership with program execution. You will staff and develop a team of engineers at varying career levels; set priorities across fuel, graphite, and metals…
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Restaurant Manager
projects/helpful-passage-853/companies/30ad1728-df4c-4814-8980-df0542fd3503
New York, NY
- $75,000 to $100,000 USD / year
Overview Benefits: Extensive and well-rounded training program Continued career development and growth opportunities Generous employee discounts on dining, retail, amusements, and hotels…
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Director-IT Operations Support System (OSS) and Center of Excellence (COE)
TDS
Remote, United States
The Director-IT Operations Support System (OSS) and Center of Excellence (COE) is responsible for leading the strategy, execution, software development, and continuous improvement of the…
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Assistant Manager II
Dollar Tree Stores INC
Cody, WY
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Store Manager
Dollar Tree Stores INC
San Antonio, TX
· Foster the growth and development of associates through training on operations and merchandising while coaching and correcting when appropriate
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Assistant Manager I
Dollar Tree Stores INC
Nacogdoches, TX
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Assistant Manager I
Dollar Tree Stores INC
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Assistant Manager II
Dollar Tree Stores INC
Houston, TX
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District Manager
Dollar Tree Stores INC
Rock Hill, SC
· Must possess a valid driver’s license
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Assistant Manager I
Dollar Tree Stores INC
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Assistant Manager II
Dollar Tree Stores INC
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Dollar Tree Stores INC
Lorain, OH
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Dollar Tree Stores INC
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Dollar Tree Stores INC
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Seasonal Part-Time Assistant Manager
Dollar Tree Stores INC
Overland Park, KS
- Part-time
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District Manager
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Centene Management Company LLC

Quality Practice Advisor

United States

$27.02 to $48.55 USD / hour

Apply on centene.wd5.myworkdayjobs.com About employer

Applications open in a new tab.

Job details

Pay: $27.02 to $48.55 USD / hour
Apply by: Nov 20, 2026
Work location: This is a hybrid position, and candidates must reside in one of the following counties: Hillsborough, Pinellas, Pasco, Sarasota, or Manatee
Posting language: English
Posted: Nov 12, 2026

Original job description

Position Purpose:

Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. 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 and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.

Key Details: Centene is hiring a Quality Practice Advisor for our Sunshine market to partner with providers, deliver quality reporting, and close care gaps. The ideal candidate is familiar with HEDIS measures and has a background working with providers. This is a hybrid position, and candidates must reside in one of the following counties: Hillsborough, Pinellas, Pasco, Sarasota, or Manatee.

Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
Identifies specific practice needs where Centene can provide support.
Develops, enhances and maintains provider clinical relationship across product lines.
Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.
Ability to travel up to 75% of time to provider offices.
Performs other duties as assigned.
Complies with all policies and standards.

Education/Experience:

Bachelor's Degree or equivalent required. 3+ years in HEDIS record collection and risk adjustment (coding) required

Licenses/Certifications:

One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS

50% travel within Hillsborough, Pinellas, Pasco, Sarasota, or Manatee.

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

Work requirements

Jobs in the United States