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Remote Child Behavioral Medical Director - Western Region

Posted 5 weeks ago
All others
Full Time
USA
$231,900.00 - $440,500.00/year

Overview

This role involves leading medical management and quality improvement initiatives for a diverse healthcare organization, focusing on the care of children and adolescents.

In Short

  • Direct and coordinate medical management functions.
  • Provide medical leadership for utilization management and quality improvement.
  • Perform medical reviews for complex cases.
  • Collaborate with clinical teams and providers.
  • Assist in planning and establishing goals for quality care.
  • Conduct rounds to assess high-risk patients.
  • Participate in provider network development.
  • Develop physician education on clinical policies.
  • Review claims for medical necessity.
  • Represent the business unit in various committees.

Requirements

  • Medical Doctor or Doctor of Osteopathy degree.
  • Experience in Utilization Management preferred.
  • Active medical practice.
  • Coursework in Health Administration or related fields is advantageous.
  • Experience with diverse populations preferred.
  • Board certification in Psychiatry and Neurology preferred.
  • Current state medical license without restrictions.
  • Ability to work weekends and holidays as needed.

Benefits

  • Competitive salary.
  • Health insurance coverage.
  • 401K and stock purchase plans.
  • Tuition reimbursement.
  • Paid time off plus holidays.
  • Flexible work arrangements.
  • Commitment to diversity and inclusion.
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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