Senior Director – Healthcare Transformation, Health Equity

🔥 13 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $148k - $274.2k / year

⏰ Full Time

🟠 Senior

👨‍⚕️ 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

• Accountable for the performance of a portfolio of Medical Management initiatives • Implement the Health Equity Cultural Competency Program • Plan, manage, implement, and support initiatives that create value and savings across clinical operations • Lead implementation of new medical management programs with specialty vendors • Evaluate specialty companies/vendors and define business terms during contracting • 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 innovative programs and initiatives • Promote cultural competence throughout the health plan • Develop provider trainings to improve cultural awareness and competency • Partner with community, regional, and statewide organizations to improve culturally competent programs and services • Assess provider-network cultural diversity, identify resources and gaps, and develop credentialing and network-development recommendations • Monitor and evaluate provider practices through KPIs within health equity dashboards • Implement population-specific training, media awareness, and community support activities • Identify population trends, health disparities, care gaps, and recommend interventions • Create outreach, community activities, and innovative programming to engage populations in services • Create and implement a comprehensive, outcomes-based Cultural Competency Plan aligned with CLAS standards and national and regional priorities

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Candidate 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 • Knowledge of medical management initiatives and clinical operations • Experience with care management, utilization management, outreach programs, and physical and behavioral health services • Experience evaluating specialty companies/vendors and defining business terms during contracting • Experience leading vendor implementation of medical management programs • Experience with project management, performance improvement, and clinical analytics • Knowledge of cultural competence, culturally inclusive best practices, and provider training • Experience developing Cultural Competency Plans aligned with CLAS standards • Experience with health equity dashboards and KPI monitoring • Experience identifying population health disparities and developing interventions • Experience collaborating with community, regional, statewide, internal, and external stakeholders

🏖️ 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