Centene is looking for a Supervisor, Quality Member Engagement to supervise day-to-day quality review functions and a team of Quality Care Member Advocates. You will play a key role in ensuring department processes comply with state, federal, and accrediting body requirements while focusing on improving health outcomes by identifying and closing care gaps.

What You'll Do

Provide supervision for quality of care and service outreach, including telephonic and in-person member contact, provider outreach, and community events to support HEDIS care gap closure.
Provide in-the-field support to direct staff when necessary.
Communicate and reinforce standards for the quality team.
Prepare and submit applicable state, federal, or accrediting body reports in a timely manner.
Prepare other quality review reports on departmental findings, identifying individual and organizational trends.
Identify and analyze team performance trends, address barriers, conduct coaching and performance management, and recommend process improvements.
Ensure non-clinical and clinical audits are conducted according to established tools and standards.
Provide recommendations for developing or revising policies, procedures, workflows, documents, or training content.
Research and respond to complex quality of care or service inquiries.
Coordinate with management to ensure department output meets goals, expectations, and requirements.
Perform other duties as assigned and comply with all policies and standards.

What We're Looking For

Authorization to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
Residency in one of the specified states and counties.
Community-based experience such as social work, case management, or navigating community resources.
Bachelor's Degree in a related field, or equivalent experience.
5+ years of clinical or care coordination experience in health care.
1+ years of related experience in care management, member outreach, or similar roles involving direct member engagement and coordination of services.
Demonstrated knowledge of the industry, including relevant terminology, practices, and standards.

Nice to Have

Managed care experience.
1+ years of supervisory or team‑lead experience, or demonstrated capability to lead and influence others.
LPN, RN, LCSW, LMSW, LMFT, LMHC, or LPC licensure/certification.
Bilingual in Spanish or Chinese (for California locations).
Bilingual in Spanish (for Texas locations).

Team & Environment

You will supervise Quality Care Member Advocates, focusing on team leadership and performance within the quality review function.

Benefits & Compensation

Compensation range: $70,100.00 - $126,200.00 per year.
Competitive pay.
Health insurance.
401K and stock purchase plans.
Tuition reimbursement.
Paid time off plus holidays.
Flexible approach to work with remote, hybrid, field, or office work schedules.

Work Mode

This is a hybrid position. Eligible locations include: Arizona (Maricopa, Yuma, Pima, or Cochise County), California (San Diego, San Bernardino, Los Angeles, Kern, Tulare, or Fresno County), Texas (Lubbock, Dallas, Bexar, Hidalgo, Starr, Cameron, or Hardin County), and statewide in Arkansas, Illinois, Georgia, Pennsylvania, Kentucky, New York, and Mississippi.

Centene is an equal opportunity employer.