Quality Practice Advisor
for section headings. Use - for any list of duties/requirements/benefits, and
for prose.
We need to decide sections:
- About the role: includes Position Purpose and maybe mission paragraph.
- Responsibilities: list of duties (delivers, advises, educates; collects, summarizes; collaborates; identifies; develops; maintains; ability to travel; performs other duties; complies).
- Requirements: maybe "Key Details" (must be authorized to work in US, reside in Texas, preference East Texas, hybrid role, travel up to 75%). Could also be under Qualifications.
- Qualifications: Education/Experience, Licenses/Certifications.
- Skills: maybe not explicit; could omit.
- Benefits: list from Centene offers.
- Pay: Pay Range.
- Schedule: maybe mention hybrid role, travel up to 75% (but that's also in Responsibilities/Requirements). Could combine.
We must not create sections with filler. Ensure each heading has real content.
Let's extract content:
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."
Key Details bullet list:
- 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
- Candidates must reside in Texas, with preference given to those located in East Texas (including Beaumont, Port Arthur, and surrounding communities).
- This hybrid role requires both local travel and remote duties.
- 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.
- Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
- Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
- Identifies specific practice needs where Centene can provide support.
- Develops, enhances and maintains provider clinical relationship across product lines.
- Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.
- Ability to travel up to 75% of time to provider offices.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
- Bachelor's Degree or equivalent required
- 3+ years in HEDIS record collection and risk adjustment (coding) required
Licenses/Certifications:
- One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS
- Registered Health Information Technician (RHIT®): For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply
- For Superior HealthPlan: license/certification is preferred
Pay Range: $27.02 - $48.55 per hour
Benefits paragraph: "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."
We should not include EEO paragraph at end.
Now produce HTML.
We need sections:
About the role
Position Purpose ... plus maybe mission paragraph? Could combine.
But we have mission paragraph separate; could be part of About the role as well.
Better: About the role includes Position Purpose and the mission paragraph.
Responsibilities: list of duties from Key Details that are action items (delivers, advises, educates; collects, summarizes; collaborates; identifies; develops; maintains; ability to travel; performs other duties; complies). Also maybe "Maintains Quality KPI..." etc.
Requirements: maybe "Key Details" about work authorization, residency, hybrid role, travel up to 75%? But those are also responsibilities. Could separate: Requirements: work authorization, residency, hybrid role, travel up to 75% (maybe schedule). But we also have Schedule section.
Qualifications: Education/Experience and Licenses/Certifications.
Benefits: list.
Pay: Pay Range.
Schedule: maybe mention hybrid role requires both local travel and remote duties, ability to travel up to 75% of time.
We must avoid duplication. Let's decide:
- About the role: Position Purpose + mission paragraph.
- Responsibilities: list of duties (delivers, advises, educates; collects, summarizes, trends, and delivers provider quality...; collaborates; identifies; develops, enhances and maintains; maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates; ability to travel up to 75% of time to provider offices; performs other duties as assigned; complies with all policies and standards). Also maybe "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." That's a duty.
- Requirements: Must be authorized to work in the U.S. without need for employment-based visa sponsorship; Candidates must reside in Texas, with preference given to those located in East Texas (including Beaumont, Port Arthur, and surrounding communities). This hybrid role requires both local travel and remote duties. (But hybrid role also schedule). Might be okay.
- Qualifications: Education/Experience (Bachelor's Degree or equivalent required; 3+ years in HEDIS record collection and risk adjustment (coding) required). Licenses/Certifications (list).
- Benefits: list from Centene offers.
- Pay: Pay Range.
- Schedule: maybe mention hybrid role requires both local travel and remote duties, ability to travel up to 75% of time to provider offices. But we already used hybrid role in Requirements; maybe better to put schedule here and remove from Requirements. Let's move hybrid role and travel to Schedule.
Thus:
Requirements: work authorization, residency preference.
Schedule: hybrid role requires both local travel and remote duties; ability to travel up to 75% of time to provider offices.
Now ensure no duplication.
Let's craft HTML.
We'll need to escape any special characters? Not needed.
We'll output only HTML fragment.
Let's write:
About the role
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.
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.
But note we duplicated benefits paragraph; we might want to move benefits to its own section. The mission paragraph includes benefits mention; but we can keep it as part of About the role, but then Benefits section would be redundant. Better to split: About the role includes Position Purpose only; Benefits section includes the benefits paragraph. The mission paragraph about Centene could be part of About the role but not benefits. However the paragraph includes benefits mention; we could keep it in About the role and not have a separate Benefits section, but the instruction says to include Benefits section only if posting actually states them. It does state benefits, so we should have a Benefits section. We can keep the mission paragraph in About the role (without benefits) and then Benefits section list the benefits. Let's extract benefits list: "competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus
for prose. We need to decide sections: - About the role: includes Position Purpose and maybe mission paragraph. - Responsibilities: list of duties (delivers, advises, educates; collects, summarizes; collaborates; identifies; develops; maintains; ability to travel; performs other duties; complies). - Requirements: maybe "Key Details" (must be authorized to work in US, reside in Texas, preference East Texas, hybrid role, travel up to 75%). Could also be under Qualifications. - Qualifications: Education/Experience, Licenses/Certifications. - Skills: maybe not explicit; could omit. - Benefits: list from Centene offers. - Pay: Pay Range. - Schedule: maybe mention hybrid role, travel up to 75% (but that's also in Responsibilities/Requirements). Could combine. We must not create sections with filler. Ensure each heading has real content. Let's extract content: 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." Key Details bullet list: - 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 - Candidates must reside in Texas, with preference given to those located in East Texas (including Beaumont, Port Arthur, and surrounding communities). - This hybrid role requires both local travel and remote duties. - 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. - Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. - Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). - Identifies specific practice needs where Centene can provide support. - Develops, enhances and maintains provider clinical relationship across product lines. - Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. - Ability to travel up to 75% of time to provider offices. - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: - Bachelor's Degree or equivalent required - 3+ years in HEDIS record collection and risk adjustment (coding) required Licenses/Certifications: - One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS - Registered Health Information Technician (RHIT®): For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply - For Superior HealthPlan: license/certification is preferred Pay Range: $27.02 - $48.55 per hour Benefits paragraph: "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." We should not include EEO paragraph at end. Now produce HTML. We need sections:
About the role
Position Purpose ... plus maybe mission paragraph? Could combine.
But we have mission paragraph separate; could be part of About the role as well. Better: About the role includes Position Purpose and the mission paragraph. Responsibilities: list of duties from Key Details that are action items (delivers, advises, educates; collects, summarizes; collaborates; identifies; develops; maintains; ability to travel; performs other duties; complies). Also maybe "Maintains Quality KPI..." etc. Requirements: maybe "Key Details" about work authorization, residency, hybrid role, travel up to 75%? But those are also responsibilities. Could separate: Requirements: work authorization, residency, hybrid role, travel up to 75% (maybe schedule). But we also have Schedule section. Qualifications: Education/Experience and Licenses/Certifications. Benefits: list. Pay: Pay Range. Schedule: maybe mention hybrid role requires both local travel and remote duties, ability to travel up to 75% of time. We must avoid duplication. Let's decide: - About the role: Position Purpose + mission paragraph. - Responsibilities: list of duties (delivers, advises, educates; collects, summarizes, trends, and delivers provider quality...; collaborates; identifies; develops, enhances and maintains; maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates; ability to travel up to 75% of time to provider offices; performs other duties as assigned; complies with all policies and standards). Also maybe "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." That's a duty. - Requirements: Must be authorized to work in the U.S. without need for employment-based visa sponsorship; Candidates must reside in Texas, with preference given to those located in East Texas (including Beaumont, Port Arthur, and surrounding communities). This hybrid role requires both local travel and remote duties. (But hybrid role also schedule). Might be okay. - Qualifications: Education/Experience (Bachelor's Degree or equivalent required; 3+ years in HEDIS record collection and risk adjustment (coding) required). Licenses/Certifications (list). - Benefits: list from Centene offers. - Pay: Pay Range. - Schedule: maybe mention hybrid role requires both local travel and remote duties, ability to travel up to 75% of time to provider offices. But we already used hybrid role in Requirements; maybe better to put schedule here and remove from Requirements. Let's move hybrid role and travel to Schedule. Thus: Requirements: work authorization, residency preference. Schedule: hybrid role requires both local travel and remote duties; ability to travel up to 75% of time to provider offices. Now ensure no duplication. Let's craft HTML. We'll need to escape any special characters? Not needed. We'll output only HTML fragment. Let's write:About the role
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.
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.
But note we duplicated benefits paragraph; we might want to move benefits to its own section. The mission paragraph includes benefits mention; but we can keep it as part of About the role, but then Benefits section would be redundant. Better to split: About the role includes Position Purpose only; Benefits section includes the benefits paragraph. The mission paragraph about Centene could be part of About the role but not benefits. However the paragraph includes benefits mention; we could keep it in About the role and not have a separate Benefits section, but the instruction says to include Benefits section only if posting actually states them. It does state benefits, so we should have a Benefits section. We can keep the mission paragraph in About the role (without benefits) and then Benefits section list the benefits. Let's extract benefits list: "competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus