Director – Clinical Program Design

🔥 21 hours ago

🐊 Florida, New York, +1 more states – Remote

🐊 Florida – Remote 🗽 New York – Remote 🏰 Missouri – Remote

💵 $107.7k - $199.3k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Centene Corporation

WebsiteLinkedInAll Job Openings

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

• Direct the implementation and administration of clinical program pilot research and development • Oversee integration of internal operations to ensure compliance with clinical programs required under state contract, RFP, HEDIS, or other national standards • Work with CMO and VP, Clinical Programs on new program designs • Research and facilitate implementation of new clinical programs for all business units • Lead cross-functional meetings to meet stakeholder expectations and company objectives • Oversee creation of policies, procedures, workflow, training materials, and reporting • Direct research and implementation functions for clinical programs to ensure program integrity and compliance • Collaborate with Analytics to oversee program integrity through auditing and outcome reporting • Coordinate with departments and business units to develop and execute clinical programs • Develop clinical program goals and strategy and ensure meaningful allocation of Centene resources • Interact with organizations and State and Specialty Society points of contact as needed

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor's degree in healthcare administration, nursing, public health related field, or equivalent experience • 7+ years of program development or clinical research experience • Managed care experience preferred • Master's degree preferred

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • 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