Remote Behavioral Medical Director – Central Region

Centene Management Company LLC; Missouri; Hybrid; USD 237,000 - 449,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Job summary

Centene Management Company LLC is seeking a clinical leader to direct medical management and credentialing for the business unit. You will provide medical leadership for utilization management, cost containment, and quality improvement activities, directing reviews and complex case analyses to ensure timely, high-quality decisions.

You will collaborate with care management teams, physicians, and committees, leading performance improvement and provider-network initiatives while supporting

Qualifications

• MD/DO with board-certified psychiatry and neurology.
• Utilization management and quality accreditation knowledge.
• Experience treating diverse patient populations preferred.

Responsibilities

• Direct and coordinate medical management and credentialing functions.
• Provide medical leadership for utilization review and quality improvement.
• Review complex medical services for medical necessity and payment.
• Support performance improvement initiatives and committee operations.
• Collaborate with providers, care teams, and appeals staff.

Skills

Medical leadership

Utilization management

Quality improvement

Education

Medical Doctor (MD) or Doctor of Osteopathy (DO)

Board certification in Psychiatry and Neurology

Job description

Centene Management Company LLC is seeking a clinical leader to direct medical management and credentialing for the business unit. You will provide medical leadership for utilization management, cost containment, and quality improvement activities, directing reviews and complex case analyses to ensure timely, high-quality decisions.

You will collaborate with care management teams, physicians, and committees, leading performance improvement and provider-network initiatives while supporting