Position Purpose: Oversees the quality of departmental interactions, systems, and relevant processes to drive value for our partners while adhering to external compliance requirements. Leads the quality assurance team in communication and working with leadership on all quality assurance related matters such as enabling the ideal customer experience, conducting targeted monitoring to guide insights to action, and ensuring adherence to regulatory compliance requirements.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

• Manages daily operations of quality assurance teams to drive consistent implementation of policies and procedures to ensure adherence to quality standards
• Manages all performance issues remediation plan and controls in place for identified risks with leadership to drive transparency and quality
• Reviews the quality assurance team’s key performance indicator (KPI) metrics to provide guidance in developing improvement plans
• Oversees the performance issues remediation plan and controls in place for identified risks with leadership
• Facilitates inter-departmental collaboration and feedback loop to maximize cross-functional impact
• Manages tactical plans to drive improvement opportunities by enhancing training and resources to elevate customer experience
• Ensures consistent adherences to documenting workflow guidelines and established procedures
• Partners with quality assurance team to provide performance reviews to quality assurance team and oversee the development via coaching and implementation of trainings
• Supports quality assurance leadership with onboarding, hiring, and training new employees to the department to ensure team members are delivering value and bringing the mission of quality to life
• Performs other duties as assigned
• Complies with all policies and standards

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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