Remote Behavioral Health Medical Director — UM & Strategy

Centene Corp.; Missouri; A distancia; USD 215.000 - 409.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Descripción de la vacante

Centene Corporation is seeking a remote BH Medical Director to lead medical management, quality improvement, and credentialing within the Utilization Management space. The role focuses on strategic planning, data analysis, and cost containment, reporting to the Chief Medical Officer while collaborating with nursing and clinical teams.

Applicants must be board-certified in Psychiatry with a current MD/DO license. Payer/Managed Care experience is highly preferred.

Formación

• Board-certified in Psychiatry with an active MD or DO license.
• Experience in Utilization Management and quality accreditation standards.
• Payer/Managed Care experience is preferred.
• Strong data analysis and strategic planning skills.

Responsabilidades

• Provide medical leadership for utilization management and medical quality initiatives.
• Evaluate medical reviews and ensure timely, high-quality decisions.
• Support implementation of performance improvement in capitated settings.
• Collaborate with clinical teams and providers on complex cases.
• Represent the business unit before committees and at state/national levels.
• Coordinate care for high-risk patients and optimize outcomes.

Conocimientos

Strategic planning

Data analysis

Medical leadership

Utilization Management

Board certification in Psychiatry

Educación

MD/DO

Descripción del empleo

Centene Corporation is seeking a remote BH Medical Director to lead medical management, quality improvement, and credentialing within the Utilization Management space. The role focuses on strategic planning, data analysis, and cost containment, reporting to the Chief Medical Officer while collaborating with nursing and clinical teams.

Applicants must be board-certified in Psychiatry with a current MD/DO license. Payer/Managed Care experience is highly preferred.