Director of Provider Quality & Health Equity - Remote

Position Overview Director of Provider Quality – Remote, with a preference for candidates residing in Indiana. This role leads provider quality, performance improvement, and collaborates with network providers, health systems, and contracting teams to enhance quality outcomes across the organization. Key Responsibilities Lead and direct process improvement activities to create more efficient and streamlined workflows. Collaborate on national quality initiatives, including NCQA Accreditation and HEDIS performance. Improve quality aspects of risk‑adjustment processes for all products. Partner with the Medicare STARS team to enhance STARS ratings for Medicare products (HEDIS, CAHPS, HOS). Oversee provider satisfaction surveys and develop action plans for improvements. Research and apply best practices to operational processes. Organize and control activities, methods, and procedures to achieve business objectives. Review and implement new technological tools and processes, fostering collaboration with internal and external constituencies. Present improvement outcomes and performance measures to senior management. Formulate policies, operating procedures, and goals in compliance with internal and external guidelines. Coordinated Care – Washington – Director, Quality Improvement & Health Equity Oversee Coordinated Care’s Cultural Competency Program, including the CLAS‑focused Cultural Competency Plan. Lead Health Disparities efforts, targeting justice‑involved individual members. Collaborate with State, County, and local agencies to promote services that improve health outcomes and reduce disparities. Monitor and improve cultural competence through provider trainings and best‑practice innovations. Assess provider network diversity, identify resources and gaps, and recommend credentialing and network development activities. Evaluate provider practices using KPIs in health equity dashboards and align interventions to address care gaps. Oversee population‑specific activities such as training, media awareness, and partnerships with external equity stakeholders. Manage the cultural competency budget and sponsorships. Qualifications Bachelor’s Degree in Nursing, a related field, or equivalent experience. 7+ years of experience in quality management, quality improvement, or healthcare operations. Strong knowledge of NCQA, HEDIS, Medicare STARS, and risk‑adjustment processes. Experience leading process improvement, data analysis, and technology implementation. Preferred Qualifications Master’s Degree. Certified Professional in Health Care Quality (CPHQ). Licenses/Certifications Certified Professional in Health Care Quality (preferred). Other relevant healthcare quality certifications. Pay Range $113,100.00 – $209,100.00 per year. Benefits Competitive pay, health insurance, 401(k) and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements (remote, hybrid, field, or office). Total compensation may include additional incentive forms subject to program eligibility. Equal Employment Opportunity Centene is an equal opportunity employer committed to diversity and values our differences. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws. Contact To apply or request accommodations, please email View email address on click.appcast.io. #J-18808-Ljbffr Centene Management Company LLC