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Centene Corporation Quality Improvement Specialist (HEDIS) RN or LPN/LVN in Indianapolis, Indiana

Position Purpose:

  • Train providers, health plans and staff in methodologies and tools of continuous quality improvement and HEDIS abstraction and over-read processes

  • Provide clinical support to the medical record abstraction, over-read and audit processes

  • Monitor performance on established contractual quality indicators. Analyze, track and trend results

  • Prepare for and participate in meetings with various committees, state agencies, providers, health plans, vendors, and stakeholders

  • Recommend, develop, and implement quality performance improvement plans (PIPs) with management utilizing the PDSA model. Monitor and report PIPs progress through closure.

  • Support the development and maintenance of quality improvement related projects specific to HEDIS Hybrid Operations. The position exists to support the health plans in the clinical aspect of medical record review.


Bachelor’s degree in Nursing, Healthcare, or Quality (including HEDIS measures or NCQA) or equivalent experience. 3+ years of related healthcare experience.


Registered Nurse preferred. Certified Professional in Health Care Quality 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 Specialist (HEDIS) RN or LPN/LVN

LOCATION: Indianapolis, Indiana

REQNUMBER: 1187227

COMPANY: Administrative & Operations support