Senior Director, Healthcare Transformation – Health Equity

Job not on LinkedIn

🕒 September 2

🏄 California – Remote

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💵 $148k - $274.2k / year

⏰ Full Time

🟠 Senior

👨‍⚕️ Medical Director

👻 Ghost score 14%

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Logo of Centene Corporation

Centene Corporation

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

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.

📋 Description

• Accountable for the performance of a portfolio of Medical Management initiatives and implementation of the Health Equity Cultural Competency Program • Plan, manage, implement, and support initiatives that create value across clinical operations, including care management, utilization management, outreach programs, and physical and behavioral health services • Evaluate specialty companies and vendors, define business terms during contracting, and lead implementation of medical management programs • Oversee and directly manage a team responsible for project management, performance improvement, and clinical analytics • Collaborate with internal and external stakeholders to identify, develop, and implement programs that improve outcomes • Promote cultural competence throughout the health plan through culturally inclusive best practices and provider training • Partner with community, regional, and statewide organizations to improve culturally competent programs and services • Assess cultural diversity of the provider network, identify resources and gaps, and develop credentialing and network development recommendations • Monitor and evaluate provider practices through KPIs and health equity dashboards • Implement population-specific activities, cultural treatment teams, and community support system activities • Identify population trends and health disparities, and recommend outreach, community activities, and innovative programming • Create and implement an outcomes-based Cultural Competency Plan aligned with CLAS standards and national and regional priorities • Monitor and continually improve culturally competent performance using data-driven assessments

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Must reside in the state of California • Bachelor’s Degree required • Master’s Degree preferred • 10+ years of related experience • 3+ years of supervisory/management experience • Experience in medical management initiatives, clinical operations, care management, utilization management, outreach programs, or related health plan services • Experience evaluating specialty companies/vendors and defining business terms during contracting • Experience leading implementation of medical management programs • Experience with project management, performance improvement, and clinical analytics • Knowledge of cultural competence, health equity, CLAS standards, and culturally inclusive practices • Experience developing provider training, cultural competency plans, health equity dashboards, and population-specific interventions

🏖️ 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 • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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