Centene Corporation
Healthcare Insurance • Non-profit • Social Impact
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.
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Behavioral Health Medical Director
November 21
Centene Corporation
Healthcare Insurance • Non-profit • Social Impact
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.
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
📋 Description
• Assist the Sr Behavioral Health 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 • Performs medical review activities pertaining to utilization review and quality assurance • Supports effective implementation of performance improvement initiatives for capitated providers • Collaborates with clinical teams and network providers for reviewing complex cases and medical necessity appeals • Identifies clinical quality improvement studies • Develops alliances with the provider community through 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 the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous • Experience treating or managing care for a culturally diverse population preferred
🏖️ 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
Apply NowSimilar Jobs
November 20
Psychiatrist Medical Director leading outpatient clinic at Iris Telehealth. Overseeing psychiatric care while providing clinical and administrative leadership in a remote setting.
🇺🇸 United States – Remote
💵 $344k - $356k / year
💰 Series B on 2022-04
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
November 19
Medical Director guiding field medical strategy and cross-functional initiatives for a biotech company. Collaborating with diverse stakeholders to improve patient care outcomes.
🇺🇸 United States – Remote
💵 $225k - $270k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
November 19
Corporate Medical Director overseeing Medicare grievances and health claims compliance. Requires MD or DO degree and extensive clinical experience with a focus on consumer experience improvement.
🇺🇸 United States – Remote
💵 $246.1k - $344.2k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
November 19
Medical Director overseeing orthopedic specialty at Aetna, a CVS Health Company. Supporting medical management programs and clinical team activities with a focus on utilization review and case management.
November 18
Director of Clinical Operations at Scene Health responsible for leading clinical teams. Focused on operational excellence and improving patient engagement through digital health solutions.