Remote Behavioral Health Medical Director – UM & Quality

Centene Corp.; Missouri; Hybrid; USD 215.000 - 409.000; Vollzeit

Benefits dieser Stelle

Remote work

Zusammenfassung

Centene Corp. is seeking a remote Medical Director to lead utilization management, quality improvement, and credentialing for the behavioral health unit. The ideal candidate is board-certified in Psychiatry with an active MD or DO license and strong UM expertise.

You will collaborate with CMO and nursing leadership, drive data-driven process improvements, and support committees and provider networks across markets. This role emphasizes strategic planning and cost containment in a remote setting.

Qualifikationen

• Board-certified in Psychiatry per American Board of Psychiatry and Neurology or American Osteopathic Association.
• Current state MD/DO license without restrictions, sanctions, or ongoing issues.
• Utilization Management experience and familiarity with quality standards preferred.

Aufgaben

• Provide medical leadership for utilization management, cost containment, and quality improvement.
• Lead medical review activities for regulatory and accreditation adherence.
• Collaborate with clinical teams and provider networks to optimize care and outcomes.
• Support policy development, physician education, and performance improvement initiatives.

Kenntnisse

Board-certified Psychiatry

Utilization Management

Healthcare leadership

Ausbildung

MD or DO

Jobbeschreibung

Centene Corp. is seeking a remote Medical Director to lead utilization management, quality improvement, and credentialing for the behavioral health unit. The ideal candidate is board-certified in Psychiatry with an active MD or DO license and strong UM expertise.

You will collaborate with CMO and nursing leadership, drive data-driven process improvements, and support committees and provider networks across markets. This role emphasizes strategic planning and cost containment in a remote setting.