Centene seeks a new VP, Quality & Process Improvement for their Managed Health Services (MHS) plan in Indianapolis, Indiana. With over 400,000 covered lives, MHS is Centene’s 2nd oldest health plan, establishing operations 22 years ago, and remains one of Centene’s top performing plans nationwide. MHS was the first Medicaid managed care plan in the state of Indiana, and today includes Medicaid, ABD, TANF, and Medicare Advantage populations with a 4 STAR rating.
Centene serves more than 12 million members through programs and services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Fortune Magazine has ranked Centene Corporation No. 61 in its 2018 FORTUNE 500 list of largest corporations in the United States, ranked by revenue, up from the 66th spot in 2017.
Reporting to the Chief Operating Officer, the VP Quality and Process Improvement will lead performance improvement for HEDIS, Stars, State Contract Quality & Pay for Performance/Withhold, Marketplace QRS and Medicare Quality metrics. In addition, this position will oversee the infrastructure and team related to ongoing NCQA Accreditation.
10+ years of healthcare operations experience, with a proven background of success in quality and process improvement.
Leadership experience with NCQA accreditation preparation and auditing, analysis of HEDIS performance measures, Pay for Performance/Withhold reporting, and STARs.
Bachelor's degree in healthcare or related clinical field. MBA, MHA, MPH or other applicable Masters preferred.
Certified Professional in Health Care Quality (CPHQ) or RN license preferred.
Internal Number: CC21
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