Director of Medical Management
7 days ago
About Us: Centene offers a comprehensive benefits package, including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and flexible work arrangements.
Job Description:
This role involves assisting the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions for the business unit. The successful candidate will provide medical leadership for utilization management, cost containment, and medical quality improvement activities.
Responsibilities:
- Develop alliances with the provider community through the development and implementation of medical management programs.
- Represent the business unit before various publics locally and nationally on medical philosophy, policies, and related issues.
- Interface with physicians and other providers to facilitate implementation of recommendations that would improve utilization and healthcare quality.
Qualifications:
- Medical Doctor or Doctor of Osteopathy degree.
- Experience working in behavioral health managed care or clinical settings.
- Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
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