Behavioral Health Medical Director - Remote Leadership & Quality

Centene Corporation; Nevada; Hybrid; USD 215,000 - 409,000; Full time

Job summary

Centene Corporation is seeking a Board-certified Psychiatrist to assist the Chief Medical Director in directing medical management, quality improvement, and credentialing across the business unit. The candidate will lead utilization management, review complex cases, and support performance improvement initiatives while working with clinical teams and provider networks.

The role requires an MD/DO with board certification, a California/Oregon/Washington/Nevada license, and preference for Pacific

Qualifications

• MD or DO degree required and board certification in a medical specialty recognized by ABMS or AOA.
• Current state MD/DO license without restrictions.

Responsibilities

• Provide medical leadership for utilization management and quality improvement activities.
• Oversee medical reviews for complex or controversial services and ensure timely, quality decisions.
• Support performance improvement initiatives for capitated providers.
• Assist in planning goals, policies, and cost-effective care strategies.
• Engage in physician education on clinical issues and policies.
• Coordinate care for high-risk patients with care management teams.

Skills

Medical leadership

Utilization management

Quality improvement

Regulatory compliance

Cross-functional collaboration

Clinical governance

Provider relations

Education

MD/DO

Board-certified (Psychiatry)

Job description

Centene Corporation is seeking a Board-certified Psychiatrist to assist the Chief Medical Director in directing medical management, quality improvement, and credentialing across the business unit. The candidate will lead utilization management, review complex cases, and support performance improvement initiatives while working with clinical teams and provider networks.

The role requires an MD/DO with board certification, a California/Oregon/Washington/Nevada license, and preference for Pacific