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Senior Health Equity Specialist

Employer
Centene Corporation
Location
Glendale, California
Closing date
Dec 14, 2021

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Position Type
Other
Hours
Full Time
Organization Type
Business
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You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

  • Implements and manages programs in compliance with contracts and regulations and monitors ongoing program performance to maintain compliance.
  • Develops strategies and policies to deliver CLAS services and maintain compliance with regulatory and contractual obligations.
  • Develops, interprets and communicates policies, procedures, regulations and standards.
  • Develops contract content for C&L services for all lines of business
  • Prepares P&P's for committee adoption.
  • Implements activities to meet regulatory obligations.
  • Assesses operational gaps compared to new standards and makes recommendations to senior management.
  • Represents Health Plan to Regulators and Accreditation Agencies, demonstrating the provision of culturally & linguistically appropriate health care services.
  • Liaisons between community coalitions, local regulators, vendors, accrediting bodies and senior management to increase knowledge of health equity and CLAS standards
  • Monitors/evaluates language services
  • Provides recommendations to language services and Health Equity/CLAS vendor for management/contracting.
  • Identifies CLAS and Health Equity process improvement opportunities
  • Leads and supports health equity and CLAS committees
  • Develops regional goals, outcomes and objectives for Committees.
  • Represents and articulates local or regional needs to senior management committees
  • Develops CLAS and Health Equity programs/initiatives to reduce disparities for members based on HEDIS, utilization, geographic, cultural, and linguistic data
  • Implements and enhances health equity and CLAS training for staff and providers
  • Reviews member and provider material for cultural and linguistic appropriateness.
  • Monitors grievance and appeals processes for CLAS and discriminatory issues
  • Proactively identifies areas of improvement for the department and participates in development of improvement plans.

The Senior Health Equity Specialist is responsible for maintaining compliance with regulations and contractual obligations pertaining to Culturally and Linguistically Appropriate Services (CLAS) and Health Equity within State Health Programs, Commercial and Medicare product lines. The Senior Health Equity Specialist t ensures that culturally and linguistically appropriate services are provided to members, including identifying and implementing health equity initiatives, representing the health plan on national, regional and multi-plan initiatives and assessing operations for gaps. The Senior Health Equity Specialist leverages feedback from providers, members, vendors and community based organizations in the development of strategy and implementation and makes recommendations for CLAS and Health Equity efforts as aligned with contractual, accreditation and quality improvement opportunities to senior management.

Education/Experience: Bachelor's in Cultural Anthropology, Social Work, Medical Anthropology, Public Health or related field required. Masters preferred. 5+ years of experience in government, health, or community programs. Experience in managed care preferred.
  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility
  • Competitive pay
  • Paid Time Off including paid holidays
  • Health insurance coverage for you and dependents
  • 401(k) and stock purchase plans
  • Tuition reimbursement and best-in-class training and development


Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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