Vice President, Population Health – Clinical Operations
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Massachusetts • United States
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Salary
💰 $171,900 - $326,900 per year
Job Level
About the role
- Partner with the CMO in market level population health identification, strategy, evaluation, and monitoring
- Provide strategic leadership for population health internally and externally with various stakeholders
- Use analytics to drive development of interventions for unique populations
- Oversee performance of all UM functions
- Drive MLR initiatives locally in partnership with Finance
- Collaborate with SIU to identify patterns of potential fraud
- Develop comprehensive position papers to advocate for program enhancements
- Coordinate quality initiatives and activate local policies
Requirements
- Bachelor's Degree with 5+ years of relevant experience required
- Master's Degree preferred
- Current state RN license preferred
- Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers
- Proven leadership in a large, matrixed organization with 3–5 years of experience working with state or federal regulators
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
population healthanalyticsservice coordinationambulatory carecommunity healthcase managementcare managementprogram enhancementsquality initiativesfraud identification
Soft skills
strategic leadershipcollaborationadvocacyevaluationmonitoring
Certifications
Bachelor's DegreeMaster's DegreeRN license