Director, Gold Card Strategy & Utilization Innovation

Centene Corporation; Missouri; Hybrid; USD 135,000 - 249,000; Full time

Job summary

Centene Corporation is seeking a strategic leader to oversee the national Gold Card Program, aligning utilization management initiatives with clinical, operational, regulatory, and technology goals. You will drive adoption, manage provider experiences, and deliver measurable improvements in healthcare delivery.

The role requires 7+ years in product development or management, a Bachelor’s degree (or equivalent), and a track record of leading large-scale transformation and cross-functional

Qualifications

• Bachelor’s degree in related field or equivalent experience.
• 7+ years of product development/management experience.
• Experience with product planning, development, execution, and product financials.

Responsibilities

• Develop the strategic vision for the national Gold Card Program.
• Identify opportunities to simplify provider interactions and improve healthcare delivery through innovative approaches to utilization management.
• Drive adoption and expansion strategies across multiple products and markets.
• Oversee outcomes related to provider experience, operational efficiency, compliance, and business value.
• Monitor industry trends, emerging regulations, and best practices related to utilization management and provider burden reduction to inform program operations.
• Foster a culture of accountability, innovation, collaboration, and continuous improvement.

Skills

Strategic initiatives

Transformation leadership

Executive presence

Stakeholder management

Education

Bachelor’s degree or equivalent

Job description

Centene Corporation is seeking a strategic leader to oversee the national Gold Card Program, aligning utilization management initiatives with clinical, operational, regulatory, and technology goals. You will drive adoption, manage provider experiences, and deliver measurable improvements in healthcare delivery.

The role requires 7+ years in product development or management, a Bachelor’s degree (or equivalent), and a track record of leading large-scale transformation and cross-functional