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Remote Behavioral Medical Director - Central Region

Posted 6 days ago
All others
Full Time
USA
231900 - 440500/year

Overview

This role involves leading medical management and quality improvement initiatives for a national organization, focusing on enhancing care and service quality for members.

In Short

  • Direct and coordinate medical management and quality improvement functions.
  • Provide medical leadership for utilization management and cost containment.
  • Perform medical review activities for complex medical services.
  • Support performance improvement initiatives for providers.
  • Assist in planning and establishing goals for quality improvement.
  • Collaborate with clinical teams and providers on complex cases.
  • Participate in provider network development and market expansion.
  • Conduct rounds to assess care for high-risk patients.
  • Review claims for medical necessity and appropriate payment.
  • Represent the business unit at state committees and public forums.

Requirements

  • Medical Doctor or Doctor of Osteopathy degree.
  • Experience in Utilization Management and quality accreditation.
  • Active medical practice.
  • Course work in Health Administration or related fields.
  • Experience with culturally diverse populations preferred.
  • Board certification by the American Board of Psychiatry and Neurology.
  • Current state medical license without restrictions.

Benefits

  • Competitive pay and health insurance.
  • 401K and stock purchase plans.
  • Tuition reimbursement.
  • Paid time off plus holidays.
  • Flexible work schedules including remote options.
  • Comprehensive benefits package.
Centene Management Company logo

Centene Management Company

Centene Management Company LLC is a diversified national organization dedicated to transforming the health of communities by providing high-quality healthcare solutions to its 28 million members. With a focus on building strong partnerships between health plans and provider networks, Centene emphasizes optimal performance in care delivery, quality improvement, and cost utilization. The company values diversity and offers a comprehensive benefits package, including competitive pay, flexible work arrangements, and support for employee development. Centene is committed to helping individuals and families live healthier lives through innovative programs and a wide range of health solutions.

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