Senior Director, Clinical Programs

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. Oversees the planning, development and performance of clinically-based products and health care programs Lead the Chronic Conditions and Advanced Illness Population Health Clinical Innovation and Program team. Oversee enterprise core chronic conditions and advance illness population health programs ensuring alignment with company goals, regulatory requirements, evaluation, continuous improvement, and performance. Partner with stakeholders (health plans, shared services, medical affairs, analytics, and others) to develop strategies (framework, interventions, and measures) for population health programs development, implementation, performance, and improvement. In this Senior Director, Clinical Programs role, you will Lead the development, implementation and monitoring of clinical programs and services that are reflective of industry best practices and achieve market leading results in improving outcomes and reducing costs Collaborate with clinical, operations and business development teams to lead clinical program development initiatives that support the organization’s strategic initiatives Communicate with accreditation stakeholders regarding program design, implementation status and performance metrics, as well as quality improvement project details Collaborate with data analytics to analyze program metrics, identify trends and insights to support strategic decisions, outcomes, and ensure compliance and reporting The Senior Director, Clinical Programs (Chronic Conditions and Advance Illness Director of Clinical Innovations & Programs ) role offers a unique blend of leadership, innovation, and the ability to make a lasting impact on member care and organizational success. It's an attractive position for individuals who are driven by purpose, enjoy strategic and operational challenges, and are passionate about improving the healthcare landscape. Bachelor's degree in Healthcare or related field required. 7+ years of program development, program management and/or project management experience in a healthcare environment. ~ Strong understanding of contemporary clinical, operational, pharmacy relations, and regulatory pharmacy practices. ~ Background in managed care and specialty pharmacy benefit management. ~ Licensed Mental Health Counselor (LMHC) Psychiatric Mental Health Nurse Practitioner (PMHNP) Clinical Nurse Specialist in Psychiatry (CNS) Licensed Mental Health Counselor (LMHC) Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.* 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. 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. Employment type Full-time Industries Hospitals and Health Care and Insurance Get notified about new Clinical Program Director jobs in Georgia, United States . Director of Clinical Operations (Remote) Director of Care Management-LCSW / MSW (Remote) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #