Supervisor, Quality Assurance & Audit

The Supervisor, Quality Assurance & Audit at Centene plays a crucial role in overseeing the daily quality assurance and audit functions related to Marketplace enrollment and billing operations. Key responsibilities include researching Affordable Care Act Marketplace rules, providing recommendations for policy and procedure development, ensuring compliance with company and regulatory requirements, managing the training and career development of the team, and continuously analyzing trends to improve quality. This position ensures that Centene meets legislative mandates while optimizing systems and processes.

To qualify for the Supervisor, Quality Assurance & Audit role at Centene, candidates should possess a Bachelor's degree in a related field or have equivalent professional experience. A minimum of four years of quality assurance and/or audit experience is required, preferably within a commercial managed healthcare setting. Additionally, experience in supervising or leading a quality assurance or audit team is preferred. Strong computer skills, especially with MS Office applications like MS Access and Excel, are essential.

Training for the Supervisor, Quality Assurance & Audit position at Centene includes a focus on improved processes, policy development, and quality assurance methods relevant to the Marketplace enrollment and billing operations. The supervisor will collaborate closely with the training department to ensure that all team members are equipped with the necessary skills and knowledge to uphold quality standards, meet compliance regulations, and perform efficiently in their roles.

The Supervisor, Quality Assurance & Audit is instrumental in advancing Centene's mission of transforming the health of communities. By ensuring that the quality assurance processes are upheld within the Marketplace enrollment and billing functions, this role directly impacts the organization's ability to deliver effective health services. The supervisor’s efforts to maintain compliance with regulations and enhance training contributes to building a more reliable and efficient healthcare system for Centene's 28 million members.

The pay range for the Supervisor, Quality Assurance & Audit position at Centene is between $68,700 and $123,700 per year. The actual compensation will be determined based on the individual’s skills, experience, education, and other job-related factors. Centene also offers a comprehensive benefits package that includes health insurance, 401K plans, and a flexible work schedule.

When answering this question, highlight your specific experiences related to quality assurance in healthcare settings. Discuss any methodologies you've employed, tools you’ve used, and how your initiatives helped improve processes or outcomes. Mention any relevant metrics or successes you've achieved.

A good response would include specific resources you use, such as regulatory websites, industry publications, or professional organizations. Emphasize your proactive approach to learning, perhaps mentioning webinars, courses, or networking with peers to ensure you remain informed about significant legislative changes.

Discuss your approach to identifying areas needing improvement based on data analysis and employee feedback. Mention specific strategies, such as implementing regular training sessions, utilizing new tools to streamline processes, or developing robust feedback loops to ensure accountability and continuous improvement.

Share a specific incident where you identified a compliance issue, how you addressed it, and the outcome. Highlight your critical thinking, problem-solving skills, and ability to work collaboratively with other departments to resolve the issue while ensuring standards were maintained.

Discuss how you assess the urgency and importance of tasks, including how you communicate with your team to understand their workload. Mention any tools or methods you use for tracking progress, organizing team responsibilities, and ensuring that all priorities align with organizational goals.

Talk about the analytical tools you are familiar with, such as Excel, Access, or specific QA software. Discuss your process for reviewing data, identifying patterns, and translating them into actionable insights. Emphasize your experience with data-driven decision-making.

Outline your process for creating comprehensive training materials which include understanding the key competencies needed for the role, consulting with experienced staff to gather insights, and possibly integrating multimedia elements for varied learning styles. Stress the importance of clarity, compliance, and practical application in your training approach.

Explain a particular project where your leadership led to improvements in QA. Highlight what your role was, the steps you took to lead the team, any challenges you faced, and the positive results from your efforts. Use quantitative or qualitative data to emphasize your impact.

Share your thoughts on skills such as attention to detail, excellent communication, leadership abilities, and strong analytical skills. Provide examples of how you've demonstrated these skills in past positions and how they would benefit your work at Centene.

Discuss your approach to conflict resolution, emphasizing the importance of open communication, active listening, and a goal-oriented perspective. Provide an example where you successfully navigated a disagreement, ensuring that team dynamics were preserved and the focus remained on quality outcomes.