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In an environment where medical product regulations seem to be expanding continuously, proportional investment in compliance infrastructure and controls runs the risk of diminishing returns. The key to achieving the right balance of commercial success and compliance is to focus on continuous improvement, specifically root-cause analysis.
The US Food and Drug Administration (FDA) has published a new draft guidance intended to assist industry with developing products under the agency's so-called "Animal Rule," a regulatory pathway intended to facilitate approvals of medical countermeasures to rare, emerging or serious pathogens.
Position Purpose: Analyze performance data to evaluate the efficiency and effectiveness of clinical processes. Perform quality audits of all clinical functions. Work with the clinical business units to develop and implement preventive and/or corrective action plans as needed.
Demonstrates regular, reliable and predictable attendance.
Performs quality audits of clinical functions.
Analyzes performance data to evaluate the efficiency and effectiveness of clinical processes.
Works with clinical business units to develop and implement preventive and/or corrective action to remedy or prevent performance failures.
Tracks quality improvement activities, assesses trends and provides reporting to various departments and committees.
Reviews and assesses the documentation used in clinical business units to ensure compliance with the control of documentation requirement.
Facilitates process improvement in clinical business units.
Education/Experience: Bachelor’s degree in a clinical field Minimum three years managed care experience
License/Certification: • Licensed clinician; CPHQ certification required upon hire or within 18 mos of being hired. • Must have and maintain current, valid and unrestricted RN (Registered Nurse) license.
Government Security/Clearance/Citizenship Requirements:
As a government contractor, this position requires U. S. citizenship and proof of favorable adjudication following submission of Department of Defense form SF86 or higher security.
At the end of the day, there is nothing more important than the health of you and your loved ones. Centene lives out that passion by serving more than 11 million members through programs and services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Centene is striving to transform the health of the community, one person at a time.
Centene’s most ...important assets are its employees. We provide benefits for our employees as a whole person – health and well-being, financial, work and life balance. Our continued growth allows for advancement in a quick-paced environment.