Remote Child - Adolescent Behavioral Medical Director

November 8

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Centene Corporation

WebsiteLinkedInAll Job Openings

Contracting • Network Development • Managed Care

10,000+ employees

Founded 1984

⚕️ Healthcare Insurance

🤝 Non-profit

🌍 Social Impact

Description

• Assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions • Provide medical leadership for utilization management, cost containment, and medical quality improvement activities • Perform medical review activities for utilization review, quality assurance, and medical review of complex services • Support implementation of performance improvement initiatives • Collaborate with clinical teams and network providers for complex cases and medical necessity appeals • Participate in network development and new market expansion as appropriate

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 is advantageous • Experience treating or managing care for a culturally diverse population preferred • For Behavioral Health - Board certification by the American Board of Psychiatry and Neurology (child psychiatry, preferred) • Illinois state license as a MD or DO without restrictions, limitations, or sanctions

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