Washington, District of Columbia, United States · Remote OK
$237k–$449k/yr
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benef…
Skills: Medical Review, Utilization Management, Quality Improvement, Credentialing, Cost Containment
Florida, United States · Remote OK
$88k–$158k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Regulatory Analysis, Privacy Risk Management, Security Risk Management, Contract Interpretation, AI Governance
Florida, United States · Remote OK
$88k–$158k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Regulatory Analysis, Privacy Risk Management, Security Risk Management, Contract Interpretation, AI Governance
Illinois, United States · Remote OK
$122k–$225k/yr
You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have acc…
Skills: Incident Response, Threat Actor TTPs, Indicators Of Compromise, Endpoint Protection, Enterprise Detection & Response
St. David's, St. George's, Bermuda · Remote OK
$237k–$449k/yr
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benef…
Skills: Medical Management, Utilization Review, Quality Improvement, Credentialing, Cost Containment
Florida, United States · Remote OK
$88k–$158k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Third Party Risk Management, Clinical Oversight, Compliance Auditing, Risk Mitigation, Care Management
Kansas, United States · Remote OK
$56k–$101k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Care Management, Behavioral Health Care, Case Management, Care Planning, Patient Education
California, United States · Remote Solely
$88k–$158k/yr
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benef…
Skills: Applied Behavior Analysis, Clinical Review, Medical Necessity Assessment, Peer Review, Utilization Management
Clayton, Missouri, United States · Hybrid
$148k–$274k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Strategic Planning, Project Management, Implementation Governance, Cross-functional Leadership, Vendor Partnership Management
Missouri, United States · Remote OK
$134k–$247k/yr
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benef…
Skills: Utilization Management, Clinical Governance, Hospice Care, Palliative Care, Pivot Tables
Indiana, United States · Remote OK
$127k–$236k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Clinical Care Management, LTSS Subject Matter Expertise, RFP Development, Budget Development, Vendor Oversight
New York, New York, United States · Remote OK
$56k–$101k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: SQL, Python, R, Data Mining, Quantitative Analysis
Florida, United States · Remote OK
$88k–$158k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Leadership, SQL, Power BI, Excel, Data Analysis
Missouri, United States · Remote OK
$228k–$431k/yr
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Applicants for this role have the flexibili…
Skills: Provider Network Strategy, Value-Based Contracting, Reimbursement Strategy, Unit Cost Management, Claims Configuration
Missouri, United States · Remote OK
$88k–$158k/yr
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benef…
Skills: SAS, SQL, Snowflake, Snowpark Python, Healthcare Data Integration
Kansas, United States · Hybrid
$17/hr–$28/hr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Community Outreach, Care Management, Health Education, Non-clinical Assessments, Case Documentation
Hutchinson, Kansas, United States · Remote OK
$56k–$101k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Care Management, Behavioral Health Assessment, Care Planning, Case Coordination, Crisis Intervention
Kansas, United States · Remote OK
$27/hr–$48/hr
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benef…
Skills: Clinical Review, Medical Necessity Determination, Behavioral Health, Appeals Processing, Case Review
Florida, United States · Remote Solely
$56k–$101k/yr
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Adult Learning Principles, Content Development, Facilitation, Training Needs Analysis, E-learning Development
Wichita, Kansas, United States · Hybrid
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competit…
Skills: Community Outreach, Care Management, Health Education, Case Documentation, Non-clinical Assessment
Washington, District of Columbia, United States • Remote OK
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Directs medical management, quality improvement, and credentialing functions to optimize care and cost-effectiveness for members. Performs complex medical reviews and provides leadership for utilization management and medical necessity appeals.
Requires a Medical Doctor (MD) or Doctor of Osteopathy (DO) degree with active board certification and a current state license. Experience in utilization management and treating culturally diverse populations is preferred.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose:
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Education/Experience:
License/Certifications:
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Transforming the health of the communities we serve, one person at a time.
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace. Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/
Offices: 7700 Forsyth Boulevard, Saint Louis, MO 63105, US · 3200 Highlands Pkwy SE, Smyrna, GA 30082, US · 1301 International Pkwy, Sunrise, FL 33323, US · 707 Center St, Columbus, GA 31901, US
Transforming the health of the communities we serve, one person at a time.
Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace. Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/
Offices: 7700 Forsyth Boulevard, Saint Louis, MO 63105, US · 3200 Highlands Pkwy SE, Smyrna, GA 30082, US · 1301 International Pkwy, Sunrise, FL 33323, US · 707 Center St, Columbus, GA 31901, US
