Remote Medical Director — Quality & Utilization Leadership

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

Benefits offered by this job

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Job summary

Centene Corporation is seeking a physician leader to assist the Chief Medical Director in directing medical management, quality improvement, and credentialing for the business unit. The role focuses on providing medical leadership for utilization management, cost containment, and clinical quality improvement activities while supporting performance initiatives for capitated provider networks.

The position requires an MD/DO with board certification in a medical specialty, current state licensure,

Qualifications

• Medical Doctor or Doctor of Osteopathy required.
• Utilization Management experience and knowledge of quality accreditation standards preferred.
• Active practice of medicine.

Responsibilities

• Direct and coordinate medical management, quality improvement and credentialing activities.
• Provide medical leadership for utilization management, cost containment and quality improvement.
• Perform medical review activities for utilization review and quality assurance.
• Support performance improvement initiatives for capitated providers.
• Plan and implement goals/policies to improve quality and cost-effectiveness of care.
• Assist in physician education on clinical issues and policies.

Education

MD/DO degree

Job description

Centene Corporation is seeking a physician leader to assist the Chief Medical Director in directing medical management, quality improvement, and credentialing for the business unit. The role focuses on providing medical leadership for utilization management, cost containment, and clinical quality improvement activities while supporting performance initiatives for capitated provider networks.

The position requires an MD/DO with board certification in a medical specialty, current state licensure,