Teams at Centene Corporation

Lead provider quality and process improvement initiatives for health plan products, overseeing NCQA/HEDIS and risk adjustment activities, collaborating on Medicare STARS, managing provider satisfaction and cultural competency programs, and presenting performance metrics to senior leadership.

Lead and conduct enterprise-wide compliance and ethics investigations across business units and health plans. Assess allegations, review documents, interview witnesses, prepare investigation reports, recommend remediation or discipline, track corrective actions, maintain case files in centralized systems, produce metrics and presentations, and collaborate with cross-functional stakeholders to ensure regulatory defensibility.