Quality Practice Advisor
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Before you apply
LocationRemote-LA
Work moderemote
Company size10,000+ people
PostedNov 2, 2026 · 3d ago
Verified live2d ago
At a glanceSummarised by Seekless from the posting.
Establishes and fosters working relationship between large physician practices, IPAs and Centene
Educates providers and supports provider practice sites regarding NCQA HEDIS measures and risk adjustment
Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding
Acts as a resource for health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding
Supports development and implementation of quality improvement interventions and audits in relation to plan providers
Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements
Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards
Position Purpose:
Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.
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Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.