Clinical Professional

2 weeks ago


Anderson, South Carolina, United States Absolute Total Care Full time
Job Title: Supervisor, HEDIS

You could be the one who drives meaningful change for our 28 million members as a clinical professional on our Medical Management/Health Services team.

Centene is a diversified, national organization offering competitive benefits, including a fresh perspective on workplace flexibility.

Position Purpose:

Lead and coordinate a team to ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities.

Collaborate with internal and external stakeholders to integrate HEDIS and CAHPS initiatives throughout the organization, maximizing opportunities to improve outcomes for members.

Coordinate activities, resources, methods, and procedures to achieve improvement in HEDIS measures with business leaders and cross-functional departments.

Coordinate with the department leader to formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in compliance with internal and external guidelines.

Supervise the daily activities of staff to promote quality improvement and efficient methods.

Assist with comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures.

Coordinate clinical quality metrics and HEDIS processes and results.

Coordinate cross-functional processes to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities.

Manage and coordinate HEDIS projects, including assignment of nurses, adherence to plan timelines, and vendor oversight for timeliness and quality.

Ensure compliance for all quality audits and maintain all data and process controls.

Education/Experience:

Bachelor's degree in Business Administration or Health Care Administration or equivalent experience. 3+ years of quality improvement, HEDIS project management, or healthcare-related experience. Working knowledge of NCQA and HEDIS programs.

Pay Range:

$67, $121,300.00 per year. Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K, and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field, or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act.


  • Medical Professional

    3 weeks ago


    Anderson, South Carolina, United States WellStreet Urgent Care Full time

    Join Our Team as a Medical ProfessionalWe are seeking talented and dedicated Medical Professionals to join our team at WellStreet Urgent Care. As a Medical Professional, you will play a vital role in delivering exceptional patient care and contributing to the success of our organization.About the RoleAs a Medical Professional, you will be responsible for...


  • Anderson, South Carolina, United States Epworth Children's Home Full time

    Job Title: Licensed Clinical CounselorEpworth Children's Home is seeking a Licensed Clinical Counselor to join our team at Epworth Center for Counseling. As a Licensed Clinical Counselor, you will provide individual, group, and family counseling services to clients and significant others with substance use problems, at-risk behaviors, and/or behavioral...


  • Anderson, South Carolina, United States Select Medical Full time

    OverviewRegency Hospital, a division of Select Medical, is a leading provider of critical illness recovery care. We are seeking a highly skilled Clinical Liaison to join our team.ResponsibilitiesAdvocate for patients during the pre-admission process, working closely with clinical teams and healthcare professionals to evaluate patient needs and develop...


  • Anderson, South Carolina, United States PruittHealth Full time

    Job Summary:This is a unique opportunity to join PruittHealth as an Interim Clinical Manager for our Hospice Services. As a seasoned clinical leader, you will be responsible for coordinating clinical services, supervising the interdisciplinary team, and ensuring the highest level of care for our patients and families. Key Responsibilities:Organize and direct...

  • Clinical Liaison RN

    2 weeks ago


    Anderson, South Carolina, United States Select Medical Full time

    OverviewRegency Hospital, a division of Select Medical, provides specialized care for chronically and critically ill patients who require extended hospital care. Our mission is to deliver exceptional patient care experiences that promote healing and recovery in a compassionate environment.ResponsibilitiesAs a Clinical Liaison, you will serve as an advocate...

  • Medical Assistant

    2 weeks ago


    Anderson, South Carolina, United States AnMed Health Full time

    Clinical Excellence at AnMed Health **Job Summary** We are seeking a highly skilled Medical Assistant or Licensed Practical Nurse to join our team at AnMed Health. As a Clinical Support Associate, you will play a vital role in ensuring the smooth operation of our patient care areas. **Key Responsibilities:** * Prepare patient care areas for examinations...

  • Medical Assistant

    1 month ago


    Anderson, South Carolina, United States AnMed Health Full time

    Clinical Support Role OverviewAt AnMed Health, we are seeking a skilled Medical Assistant to provide clinical support to our healthcare team.**Key Responsibilities:*** Prepare patients and patient care areas for examinations and office procedures* Assist providers with direct patient care, including procedures and other tasks* Travel to outlying locations...


  • Anderson, South Carolina, United States Epworth Children's Home Full time

    Job Title: Licensed Clinical CounselorEpworth Children's Home is seeking a skilled Licensed Clinical Counselor to join our team at the Epworth Center for Counseling. As a Licensed Clinical Counselor, you will play a vital role in providing therapeutic services to children, teens, and adults in our community.Job Summary:As a Licensed Clinical Counselor, you...


  • Anderson, South Carolina, United States Interim HealthCare Inc Full time

    About the RoleWe are seeking a skilled and compassionate Registered Nurse to join our Home Health team at Interim HealthCare Inc. As a Home Health Registered Nurse, you will provide high-quality patient care in the comfort of their own homes, working closely with a multidisciplinary team to develop and implement personalized care plans.Key...

  • Clinical Supervisor

    2 weeks ago


    Anderson, South Carolina, United States Absolute Total Care Full time

    Job Title: Clinical Supervisor - HEDIS ProgramAre you a healthcare professional looking for a challenging role that aligns with your passion for quality improvement? We are seeking a Clinical Supervisor to join our team at Absolute Total Care, where you will play a critical role in ensuring the accuracy and reporting of HEDIS data.Key...


  • Anderson, South Carolina, United States Absolute Total Care Full time

    Job Title: Clinical Quality Improvement SupervisorJoin our team of dedicated professionals at Absolute Total Care and take on the challenge of improving healthcare outcomes for our members.About the Role:We are seeking a highly skilled Clinical Quality Improvement Supervisor to lead our HEDIS project management efforts. As a key member of our Medical...


  • Anderson, South Carolina, United States CenterWell Home Health Full time

    About the RoleWe are seeking a skilled Clinical Assessment Advisor to join our team at CenterWell Home Health. As a Clinical Assessment Advisor, you will play a critical role in ensuring the highest quality of care for our patients.Key ResponsibilitiesConduct thorough assessments of patient needs and develop personalized care plans to achieve optimal...


  • Anderson, South Carolina, United States CenterWell Home Health Full time

    Transform Patient Care with UsAt CenterWell Home Health, we're dedicated to delivering exceptional patient care and support. As a Clinical Assessment Advisor, you'll play a vital role in ensuring our patients receive the highest quality care and attention.About the RoleThe Clinical Assessment Advisor is responsible for completing and overseeing the...


  • Anderson, South Carolina, United States Planet Healthcare Full time

    Planet Healthcare is seeking a skilled EEG Technologist to join their team for a travel assignment in Anderson, South Carolina.Job DetailsSpecialty: EEG TechnologistDiscipline: Allied Health ProfessionalDuration: 13 weeksShift: 8 hours, daysEmployment Type: TravelAs an EEG Technologist with Planet Healthcare, you will have the opportunity to work with a...


  • Anderson, South Carolina, United States CenterWell Home Health Full time

    About the RoleCenterWell Home Health is seeking a skilled Clinical Assessment Advisor to join our team. As a Clinical Assessment Advisor, you will play a vital role in ensuring the highest quality of care for our patients. Your primary responsibility will be to conduct comprehensive assessments of patients in their homes, identifying their needs and...

  • Registered Nurse

    4 days ago


    Anderson, South Carolina, United States All Ways Caring HomeCare Full time

    Job Summary:As a Registered Nurse with All Ways Caring HomeCare, you will provide high-quality, compassionate care to clients in their home environment. Your expertise will enable clients to maintain their independence and quality of life. Key Responsibilities:Provide skilled nursing care and treatment to clients per physician orders and plan of...


  • Anderson, South Carolina, United States BAYADA Home Health Care Full time

    Job Summary: BAYADA Home Health Care is seeking an experienced Speech Language Pathologist for a per-diem opportunity performing home health visits. This role involves providing rehabilitative care and skilled nursing to clients in their homes throughout Greenville, Anderson, and Spartanburg Counties.Responsibilities:Make home visits to clients in designated...


  • Anderson, South Carolina, United States A-Line Staffing Solutions Full time

    Job Title: Family Nurse PractitionerJob Type: Onsite in Anderson, SCJob Summary:We are seeking a highly skilled Family Nurse Practitioner to join our team at A-Line Staffing Solutions. As a Family Nurse Practitioner, you will be responsible for providing high-quality patient care, educating patients on maintaining proper health, and collaborating with...

  • Physical Therapist

    4 weeks ago


    Anderson, South Carolina, United States Fox Rehabilitation Full time

    Make a Difference in Geriatric CareFOX Rehabilitation is seeking top-caliber Physical Therapists to join our team in Anderson and surrounding locations in SC.Why FOX Rehabilitation?Pioneer of Geriatric House Calls to older adults in their communities.Provide physical therapy services in a 1:1 setting to help abolish ageism.Drive rewarding patient...


  • Anderson, South Carolina, United States Fox Rehabilitation Full time

    Unlock Your Potential as an Occupational Therapist with FOX RehabilitationAt FOX Rehabilitation, we're passionate about empowering occupational therapists to deliver exceptional care to older adults in their communities. As a pioneer in Geriatric House Calls, we're seeking top-caliber therapists to join our team in Anderson, SC.Why Choose FOX...