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Added 19 hours ago
CM
Manager, Grievance & Appeals
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 19 hours ago
CM
Senior Actuary
Centene Management Company LLC
Remote, United States
- $134,600 to $249,000 USD / year
Added 19 hours ago
CM
Manager, Training
Centene Management Company LLC
Remote, United States
- $87,700 to $157,800 USD / year
Added 19 hours ago
CM
Program Manager II
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 19 hours ago
CM
Digital Communications Automation Specialist
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 19 hours ago
CM
Outcomes Analyst III
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 19 hours ago
CM
Digital Communications Automation Specialist
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 23 hours ago
CM
Intake Representative I
Centene Management Company LLC
Remote, United States
- $15.87 to $27.25 USD / hour
Added 23 hours ago
CM
Project Manager II - Risk Adjustment
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 23 hours ago
CM
Director, Finance - Payment Integrity
Centene Management Company LLC
Remote, United States
- $134,600 to $249,000 USD / year
Added 23 hours ago
CM
Clinical Review Nurse - Prior Authorization
Centene Management Company LLC
Remote, United States
- $27.02 to $48.55 USD / hour
Added 23 hours ago
CM
Clinical Review Nurse - Concurrent Review
Centene Management Company LLC
Remote, United States
- $27.02 to $48.55 USD / hour
Added 23 hours ago
CM
Director, Quality Improvement
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
Added 23 hours ago
CM
Vice President, Ambetter Market Product Development & Management
Centene Management Company LLC
Remote, United States
- $171,900 to $326,900 USD / year
Added 1 day ago
CM
IAM Analyst II
Centene Management Company LLC
Remote, United States
- $30.58 to $55.09 USD / hour
Added 1 day ago
CM
Regulatory Operations Analyst III
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 1 day ago
CM
Provider Engagement Account Manager
Centene Management Company LLC
Remote, United States
- $56,200 to $101,000 USD / year
Added 1 day ago
CM
Senior LTSS Service Care Manager RN - Pediatrics
Centene Management Company LLC
United States
- $36.21 to $65.09 USD / hour
Added 1 day ago
CM
Senior LTSS Service Care Manager RN - Pediatrics
Centene Management Company LLC
United States
- $36.21 to $65.09 USD / hour
Added 1 day ago
CM
Provider Engagement Account Manager
Centene Management Company LLC
Remote, United States
- $56,200 to $101,000 USD / year
Added 1 day ago
CM
Care Manager (RN)
Centene Management Company LLC
Remote, United States
- $56,200 to $101,000 USD / year
Added 1 day ago
CM
Provider Engagement Account Manager
Centene Management Company LLC
Remote, United States
- $56,200 to $101,000 USD / year
Added 1 day ago
CM
Clinical Review Nurse - Concurrent Review
Centene Management Company LLC
Remote, United States
- $27.02 to $48.55 USD / hour
Added 1 day ago
CM
Care Coordinator
Centene Management Company LLC
Remote, United States
- $17.84 to $28.02 USD / hour
Added 1 day ago
CM
Manager, Utilization Management
Centene Management Company LLC
Remote, United States
- $87,000 to $161,300 USD / year

Closed listing

Centene Management Company LLC

Quality Practice Advisor

Remote, United States

Pay Range: $27.02 - $48.55 per hour

This opening has closed.

The original listing is kept below for reference.

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Job details

Pay: Pay Range: $27.02 - $48.55 per hour
Posting language: English
Posted: Oct 14, 2026

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Original job description

Archived listing. The details below describe a past opening.

Job Description

Requires 50% travel Region 1 - Paducah, KY (south Evansville to TN line) North Indiana, IL, through KY Mayfield, Ky – Hopkinsville

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.

Requires 50% travel Region 1 - Paducah, KY (south Evansville to TN line) North Indiana, IL, through KY Mayfield, Ky – Hopkinsville

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 Registered Health Information Technician (RHIT®)

For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply

For the Kentucky plan only: License/Certification preferred, not required: CADC, CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS, + 3 years HEDIS experience

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

About employer

More about this job

Skills

Quality assurance
Documentation
Regulatory compliance
LPN
RN
Mentor individuals

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