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Centene Corporation Quality Improvement Abstractor- Maternity Health (RN or LPN) Remote Statewide in Cedar Rapids, Iowa

* This position can be remote but the person MUST reside in the state of Iowa. *

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

  • Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements

  • Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards

  • Review medical records and abstract data for HEDIS and other measure sets in compliance with standards

  • Track and report on issues and outcomes related to abstractions and over-reads

  • Communicate outcomes of abstraction and over-sight activities with health plans and vendors when required

  • Perform other quality initiatives as necessary

Our Comprehensive Benefits Package:

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility

  • Competitive pay

  • Paid Time Off including paid holidays

  • Health insurance coverage for you and dependents

  • 401(k) and stock purchase plans

  • Tuition reimbursement and best-in-class training and development

Education/Experience:

Associate’s degree in related field or equivalent experience. Bachelor degree preferred. 4+ years of nursing, medical assistant, medical coding or data management experience. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA standards) preferred. Advanced knowledge of Microsoft Applications, including Excel and Access.

Licenses/Certifications: Current state’s RN or LPN license preferred.

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.

TITLE: Quality Improvement Abstractor- Maternity Health (RN or LPN) Remote Statewide

LOCATION: Cedar Rapids, Iowa

REQNUMBER: 1324843

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