Remote Medical Director, Pharmacy & Quality Improvement

Centene Corporation; Kansas; Hybrid; USD 237,000 - 449,000; Full time

Benefits offered by this job

Competitive benefits

Flexible work schedules

Hybrid/remote options

Job summary

Centene Corporation is seeking a Senior Medical Director to direct and coordinate medical management, quality improvement, and credentialing for the business unit. You will lead utilization management, cost containment, and clinical quality initiatives while ensuring regulatory compliance and high-quality patient care.

The role requires medical licensure, active clinical practice, and board certification, with collaboration across clinical teams and provider networks to optimize outcomes and

Qualifications

• MD or DO medical degree required.
• Experience in utilization management and quality accreditation preferred.
• Active medical practice required.
• Course work in health administration, financing, or personnel management advantageous.
• Experience with diverse populations preferred.

Responsibilities

• Direct medical management, quality improvement, and credentialing for the business unit.
• Provide medical leadership for utilization management, cost containment, and quality improvement activities.
• Perform medical review related to utilization review, QA, and complex/experimental services.
• Support performance improvement initiatives for capitated providers.
• Develop physician education on clinical issues and policies.

Skills

Utilization management

Quality improvement

Medical leadership

Care coordination

Physician education

Education

MD/DO

Board certification (ABMS/AOA)

Job description

Centene Corporation is seeking a Senior Medical Director to direct and coordinate medical management, quality improvement, and credentialing for the business unit. You will lead utilization management, cost containment, and clinical quality initiatives while ensuring regulatory compliance and high-quality patient care.

The role requires medical licensure, active clinical practice, and board certification, with collaboration across clinical teams and provider networks to optimize outcomes and