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.
 

Position Purpose:
Provide strategic and operational direction for utilization management, quality, and administrative or clinical policies, procedures and programs. Implement and monitor regional and line of business performance and medical/clinical management programs throughout state. Provide overall mentorship, development and supervision to a team of experienced Medical Directors and physician consultants, as well as partnership with key operational and Line of Business leaders.

• Provide clinical leadership and administrative guidance to all departments within and affiliated with Medical Affairs Office.
• Direct performance and quality improvement initiatives.
• Develop and maintain operational policies for the department.
• Provide leadership, partnership, and accountability for provider or provider group performance of assigned regions or line of business.
• Provide leadership to the Informatics Unit and provides clinical liaison to IT department
• Assists with utilization management-related activities, as needed.
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:
Medical Doctor (MD) or Doctor or Osteopathic Medicine (DO) required
5+ years of managed care clinical experience required
Experience working with health analysts and Information Technology in developing process and utilization-based reports
Demonstrated ability to adjust to changing priorities while remaining focused on overall strategic goals and project deliverables
Demonstrated ability to manage multiple projects and/or multiple teams, either directly or through influence, to achieve desired outcomes (including quality, medical management, and growth, etc.)
A demonstrated record of Managed Care Medical and Quality Management leadership experience

Licenses/Certifications:
MD licensed in Current State required
Current board certification in trained specialty required

Pay Range: $301,400.00 - $572,700.00 per year

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