Centene is seeking a Quality Practice Advisor to build and maintain strong working relationships with large physician practices, IPAs, and internal teams. This hybrid field-based role focuses on educating providers on NCQA HEDIS measures, risk adjustment, medical record documentation, and appropriate coding.
The role supports quality improvement efforts, helps resolve deficiencies affecting plan compliance, and serves as a resource for provider-facing teams on HEDIS, documentation, and coding standards. The position requires significant travel to provider offices.
Requirements & Qualifications
- Bachelor's degree or equivalent required
- 3+ years of experience in HEDIS record collection and risk adjustment coding
- RN licensure highly preferred
- One of the following credentials required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS
- RHIT may be required for positions aligned to a corporate line of business reporting into a state-specific health plan
- Must be authorized to work in the U.S. without current or future visa sponsorship
- Must reside in North Carolina in one of the specified counties
- Ability to travel up to 75% of the time
Benefits & Perks
- Competitive pay
- Health insurance
- 401(k) and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible work schedule options including remote, hybrid, field, or office arrangements depending on the role
- Additional incentive compensation may be available
Location
North Carolina, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
2 months ago