Chief Medical Officer
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: New York • United States
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Salary
💰 $251,400 - $478,100 per year
Job Level
About the role
- Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members
- Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations
- Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines
- Provide oversight and direction for staff and provider training and education
- Promote positive relations with the local medical community, including periodic consultation with providers or prescribers
- Review case management data, identifies trends and gaps in care and recommends corrective actions
- Review all quality of care issues and oversees the development and implementation of processes for improvement
- Monitor performance indicators to ensure the delivery of cost-effective care within quality standards
- Monitor member and provider satisfaction and recommends and implements changes to improve satisfaction levels
- Work collaboratively to develop corporate clinical care standards and medical practice policies
- Provide medical guidance to the Medical Management department
Requirements
- Medical Doctor (MD) or Doctor of Osteopathy required
- 7+ years clinical experience in the practice of medicine required
- Management experience preferred
- Utilization Management experience and knowledge of quality accreditation standards preferred
- Actively practices medicine and provides leadership in the local medical community preferred
- Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred
- Experience treating or managing care for a culturally diverse population preferred
- Board certification in a medical specialty recognized by the American Board of Medical Specialists required
- Certification in a primary care specialty preferred
- Nebraska license as a MD or DO without restrictions, limitations or sanctions from government programs required
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
clinical experienceutilization managementmedical reviewquality improvementcase managementperformance monitoringhealthcare policy developmentdata analysismedical oversight
Soft skills
leadershipcommunicationcollaborationeducational skillsinterpersonal skillsproblem-solvingorganizational skillsconsultation
Certifications
Medical Doctor (MD)Doctor of Osteopathy (DO)board certification in a medical specialtycertification in a primary care specialtyNebraska medical license