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Centene Corporation

Medical Director

Centene Corporation

Medical Director directing and coordinating medical management and quality improvement for Centene's Health Plan in New Hampshire. Supports healthcare services to Medicaid and Medicare members.

Posted 7/28/2026full-timeRemote • New Hampshire • 🇺🇸 United StatesLead💰 $215,000 - $408,500 per yearWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical management, quality improvement, and utilization management, with a focus on cost containment and performance improvement initiatives. Holds a strong understanding of quality accreditation standards and experience in managing care for diverse populations.

Highest-signal resume keywords
MD Or DO Without RestrictionsBoard Certified PhysicianLicensed In New HampshireUtilization Management ExperienceQuality Accreditation Standards Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Industry Keywords
Medical ManagementQuality ImprovementCredentialing FunctionsUtilization ReviewQuality AssurancePerformance Improvement InitiativesCulturally Diverse PopulationHealth AdministrationHealth FinancingInsurance

About the role

Key responsibilities & impact
  • Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit
  • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities
  • Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services
  • Supports effective implementation of performance improvement initiatives for capitated providers
  • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members

Requirements

What you’ll need
  • MD or DO without restrictions
  • Board Certified Physician
  • Must be licensed in New Hampshire
  • Utilization Management experience and knowledge of quality accreditation standards preferred
  • Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous
  • Experience treating or managing care for a culturally diverse population preferred

Benefits

Comp & perks
  • 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