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Provider Quality Liaison Jobs (NOW HIRING)

Centene

Provider Quality Liaison

$19.43 - $32.98/hr

Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap ...

Centene

Provider Quality Liaison

$19.43 - $32.98/hr

Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap ...

HQS Automotive

Quality Liaison

Plymouth, MI · On-site

... meet quality standards. Key Responsibilities Liaison: Act as the primary, face-to-face point of ... Help customers understand root causes by providing detailed onsite data, photos, and context.

HQS Automotive

Quality Liaison

Lansing, MI · On-site

HQS Automotive International Inc. provides quality control and warehouse solutions, including onsite engineering, inspection, rework services, logistic service, inventory management, etc. Our clients ...

HQS Automotive

Quality Liaison

Northville, MI · On-site

HQS Automotive International Inc. provides quality control and warehouse solutions, including onsite engineering, inspection, rework services, logistic service, inventory management, etc. Our clients ...

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How much do provider quality liaison jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for provider quality liaison in the United States is $25.30, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $29.57 per hour, depending on experience, location, and employer.

How does a provider quality liaison collaborate with healthcare providers to implement quality improvement initiatives?

Provider Quality Liaisons work closely with physicians, nurses, and healthcare administrators to identify areas for care improvement, interpret performance data, and support best practice adoption. They often facilitate meetings, provide feedback on quality metrics, and help develop action plans to meet regulatory standards. Effective communication and relationship-building are key, as liaisons must balance organizational goals with providers’ perspectives. This collaborative approach ensures quality initiatives are practical and well-received across clinical teams.

What are the key skills and qualifications needed to thrive as a provider quality liaison, and why are they important?

To thrive as a Provider Quality Liaison, you need a strong background in healthcare quality management, knowledge of regulatory standards, and often a bachelor's degree in nursing, healthcare administration, or a related field. Familiarity with quality improvement tools, data analysis software, and healthcare reporting systems is typically required. Excellent communication, relationship-building, and problem-solving skills help you collaborate effectively with providers and drive quality initiatives. These skills are crucial for improving patient outcomes, ensuring compliance, and fostering productive partnerships between providers and healthcare organizations.

What is the difference between Provider Quality Liaison vs Provider Relations Specialist?

AspectProvider Quality LiaisonProvider Relations Specialist
CredentialsHealthcare certifications, quality assurance trainingCustomer service, healthcare industry knowledge
Work EnvironmentHealthcare facilities, quality departmentsInsurance companies, healthcare provider offices
Employer & Industry UsageHospitals, healthcare organizationsInsurance providers, managed care organizations

The Provider Quality Liaison primarily focuses on ensuring healthcare providers meet quality standards and compliance, working closely with clinical teams. In contrast, the Provider Relations Specialist manages communication and relationships between providers and the organization, emphasizing customer service and partnership development. While both roles involve interaction with healthcare providers, their core responsibilities and focus areas differ significantly.

What does a provider quality liaison do?

A provider quality liaison is responsible for monitoring and improving the quality of healthcare services provided by healthcare providers. They review performance data, ensure compliance with regulations, and facilitate communication between providers and healthcare organizations to enhance patient care and safety.

What cities are hiring for Provider Quality Liaison jobs?

Cities with the most Provider Quality Liaison job openings:

What states have the most Provider Quality Liaison jobs?

States with the most job openings for Provider Quality Liaison jobs include:

What are popular job titles related to Provider Quality Liaison jobs?

For Provider Quality Liaison jobs, the most frequently searched job titles are:

Provider Quality Liaison jobs near you

Provider Quality Liaison

Remote

Centene
Health Care and Social Assistance • 10K+ employees
Learn more about Centeneexternal

$19.43 - $32.98/hr

Full-time

Medical, Retirement, PTO

Posted 14 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 406 frontline employees who took The Breakroom Quiz

Job description

Position Purpose:
Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with providers. Use existing resources to collaborate with provider offices and internal partners on performance measure barriers, actions to mitigate low performing measures, and the sharing of quality best practices to support providers.

Key Details: Candidates must reside in Nevada, with preference given to those located in Southern Nevada. The ideal candidate will be willing to travel as needed and possess experience in HEDIS, provider engagement, and healthcare quality improvement initiatives.

  • References and connects providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record documentation guidelines and Member Experience measures.
  • Acts as an ongoing resource to providers for quality improvement via regular touch points and meetings.
  • Educates, supports, and resolves provider practice sites issues around P4P (Pay for Performance), RxEffect, CAHPS (Consumer Assessment of Healthcare Providers and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollments, Appeals, and Grievances.
  • Collaborates with Provider Relations and other provider facing teams to improve provider performance in Quality (Clinical and Member Experience measures). Provides clear insight into provider group dynamics, identifies areas of opportunity, builds action plan and collaborates cross functionally to support quality performance.
  • Develops, enhances and maintains provider relationship across all product lines (Medicare, Medicaid, Ambetter). Supports the development and implementation of quality improvement interventions in relation to Plan providers
  • Conducts telephonic outreach to members to encourage members to visit the physician in an effort to close quality care gaps.
  • Performs other duties as assigned.
  • Complies with all policies and standards

Education/Experience:
High school diploma or equivalent. Associate's degree preferred. 2+ years of experience with clinical and member experience quality.
License/Certification: Driver's License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure preferred.
Location: Must reside in Nevada. Position is hybrid.

Pay Range: $19.43 - $32.98 per hour

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.

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.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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