Quality Improvement Abstractor

As a Fortune 25 healthcare leader, we’re committed to providing high-quality, accessible care to individuals and families, especially in underserved communities. Our innovative approach integrates physical, behavioral and social services to make a real difference in health outcomes. We value collaboration and are dedicated to excellence, creating an environment where our employee contributions can truly shine. Join us in transforming healthcare and enhancing the well-being of communities across the country.

You could be the one who changes everything for our 28 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. REMOTE OPPORTUNITY! Centene is seeking a Quality Improvement Abstractor to support quality initiatives through accurate data abstraction, review, and validation of clinical data. The ideal candidate will have experience with HEDIS, quality measure abstraction, and overreads, ensuring accuracy, compliance, and consistency with established guidelines.

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 Performs other duties as assigned Complies with all policies and standards