Chief Medical Officer
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Long Island City • New York • United States
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Salary
💰 $276,400 - $525,800 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
- MD or DO without restrictions
- Board Certified Physician
- New York license
- New York resident
- 7+ years clinical experience in the practice of medicine
- 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
- New York state license as a MD or DO without restrictions, limitations or sanctions from government programs required
Benefits
- comprehensive benefits package including: 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 & Tools
clinical experiencemedical oversightmedical managementquality improvementcase managementutilization managementhealthcare policy developmentperformance monitoringdata analysisprovider training
Soft Skills
leadershipcommunicationcollaborationeducational skillsinterpersonal skillsproblem-solvingrelationship buildingorganizational skillsanalytical skillsadaptability
Certifications
MDDOBoard Certified PhysicianNew York state licenseBoard certification in a medical specialtyCertification in a primary care specialty