Child and Adolescent Behavioral Medical Director

January 25

☕ Washington – Remote

Although this job is listed in Washington, this company may be open to hiring remote in other states.

💵 $231.9k - $440.5k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Centene Corporation

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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 • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

📋 Description

• Assist the Chief Medical Director to direct and coordinate medical management, quality improvement, and credentialing functions • Provides medical leadership for utilization management, cost containment, and medical quality improvement activities • Conducts medical review activities pertaining to utilization review, quality assurance, and medical review of complex cases • Supports effective implementation of performance improvement initiatives for capitated providers • Assists in planning and establishing goals and policies to improve quality and cost-effectiveness of care • Conducts regular rounds to assess and coordinate care for high-risk patients • Collaborates effectively with clinical teams, network providers, and medical consultants for reviewing complex cases • Identifies clinical quality improvement studies to reduce unwarranted variation in clinical practice • Develops alliances with the provider community through the implementation of medical management programs

🎯 Requirements

• Medical Doctor or Doctor of Osteopathy • Utilization Management experience and knowledge of quality accreditation standards preferred • Actively practices medicine • Course work in Health Administration, Health Financing, Insurance, and/or Personnel Management advantageous • Experience treating or managing care for a culturally diverse population preferred • Board certification by the American Board of Psychiatry and Neurology • Current Washington state medical license without restrictions

🏖️ Benefits

• Competitive pay • Health insurance • 401K and stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules