Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting β’ Network Development β’ Managed Care
5 days ago
π Kentucky β Remote
π΅ $231.9k - $440.5k / year
β° Full Time
π΄ Lead
π¨ββοΈ Medical Director
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting β’ Network Development β’ Managed Care
β’ Assist Chief Medical Director in directing and coordinating medical management functions β’ Provides medical leadership for utilization management and quality improvement β’ Collaborates with care management teams for optimizing outcomes β’ Development and implementation of physician education on clinical policies β’ Identifies adverse trends in utilization of medical services
β’ Medical Doctor or Doctor of Osteopathy β’ Utilization Management experience and knowledge of quality accreditation standards preferred β’ Actively practices medicine β’ Coursework in Health Administration, Health Financing, Insurance, or Personnel Management is advantageous β’ Experience treating or managing care for a culturally diverse population preferred β’ Board certification by the American Board of Psychiatry and Neurology β’ Current KY state license (or willing and able to obtain one) as a MD or DO without restrictions, limitations, or sanctions
β’ competitive pay β’ health insurance β’ 401K and stock purchase plans β’ tuition reimbursement β’ paid time off plus holidays β’ flexible approach to work with remote, hybrid, field or office work schedules
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