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Job Description
Join Centene as a Medical Director to lead medical management and quality improvement initiatives for our members. This remote position offers a chance to make a significant impact on healthcare delivery while enjoying a comprehensive benefits package and workplace flexibility.
Key Responsibilities
Direct medical management and quality improvement activities
Perform medical review activities for utilization and quality assurance
Support performance improvement initiatives for providers
Assist in planning and establishing goals for quality and cost-effectiveness
Conduct regular rounds for high-risk patients
Collaborate with clinical teams and providers
Participate in provider network development
Develop and implement physician education on clinical issues
Identify trends in utilization and clinical quality improvement
Interface with providers to improve utilization and health care quality
Required Qualifications
Medical Doctor or Doctor of Osteopathy
Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association
Current Illinois state license as a MD or DO without restrictions
Minimum of eight years of experience in mental health, substance abuse, or children health services
Preferred Qualifications
Utilization Management experience
Knowledge of quality accreditation standards
Experience treating or managing care for a culturally diverse population
Course work in Health Administration, Health Financing, Insurance, and/or Personnel Management
Benefits & Perks
Competitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysFlexible work schedules (remote, hybrid, field, or office)