Vice President, Clinical Operations – Behavioral Health

Job not on LinkedIn

🔥 1 minute ago

🐊 Florida, Missouri – Remote

🐊 Florida – Remote 🏰 Missouri – Remote

💵 $171.9k - $326.9k / year

⏰ Full Time

🔴 Lead

🏥 Clinical Operations

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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

• Oversee and direct all clinical operations, including care management and coordination, and utilization management • Establish the business unit’s clinical strategic vision, objectives, policies and procedures • Monitor performance results against established metrics and benchmarks and recommend improvement opportunities • Serve as the subject matter expert and participate in all new implementations • Oversee utilization and care management across all markets • Participate in customer, health plan, and QI meetings • Oversee the production of reports required by the contract and management • Collaborate with various departments to resolve provider claims issues • Ensure effective care is delivered to members while achieving utilization management goals • Oversee annual budget for clinical operations • Drive efforts to increase staff expertise at shaping providers to perform more effectively in the delivery of care, including development of training programs • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Master's Degree in Behavioral Health, Psychology, Public Health/Administration, related field or RN license required • 8+ years of clinical and operations experience in the behavioral health industry required • Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff • Unrestricted license as a LCSW, LMFT, LPC, PhD, PsyD or RN required • Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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