Senior Director, Clinical Programs

Centene Corporation; California (MO); Remote; USD 145,000 - 269,000; Full time

Job summary

Centene Corporation seeks a Senior Director for Clinical Programs to oversee the development and performance of clinically-based healthcare programs. This role combines leadership and strategic planning to enhance health outcomes for over 28 million members, offering a compelling opportunity for professionals passionate about transforming healthcare.

Benefits

Comprehensive benefits package

401K and stock purchase plans

Tuition reimbursement

Flexible work schedules

Qualifications

• 7+ years of program development and management experience.
• Background in managed care and specialty pharmacy benefit management.
• Licensed Clinical Social Worker (LCSW) or similar licenses preferred.

Responsibilities

• Oversee development and performance of clinical products and healthcare programs.
• Lead Chronic Conditions and Advanced Illness team.
• Collaborate with various stakeholders to improve health program outcomes.

Skills

Strong understanding of contemporary clinical practices

Program management

Clinical program development

Education

Bachelor's degree in Healthcare or related field

Master’s or Doctoral degree preferred

Job description

2 days ago Be among the first 25 applicants

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose

• Oversees the planning, development and performance of clinically-based products and health care programs
• Lead the Chronic Conditions and Advanced Illness Population Health Clinical Innovation and Program team. Oversee enterprise core chronic conditions and advance illness population health programs ensuring alignment with company goals, regulatory requirements, evaluation, continuous improvement, and performance. Partner with stakeholders (health plans, shared services, medical affairs, analytics, and others) to develop strategies (framework, interventions, and measures) for population health programs development, implementation, performance, and improvement.
  
  

In this Senior Director, Clinical Programs role, you will

• Lead the development, implementation and monitoring of clinical programs and services that are reflective of industry best practices and achieve market leading results in improving outcomes and reducing costs
• Collaborate with clinical, operations and business development teams to lead clinical program development initiatives that support the organization’s strategic initiatives
• Maintain knowledge of competitive activity and program designs to continuously improve clinical programs and strategy
• Support new business development activities and re-bids by creating clinical sections in RFPs and presenting clinical offerings
• Communicate with accreditation stakeholders regarding program design, implementation status and performance metrics, as well as quality improvement project details
• Represent organization at key industry events and meetings
• Collaborate with data analytics to analyze program metrics, identify trends and insights to support strategic decisions, outcomes, and ensure compliance and reporting
  
  

Why this role is appealing

• The Senior Director, Clinical Programs (Chronic Conditions and Advance Illness Director of Clinical Innovations & Programs ) role offers a unique blend of leadership, innovation, and the ability to make a lasting impact on member care and organizational success. It's an attractive position for individuals who are driven by purpose, enjoy strategic and operational challenges, and are passionate about improving the healthcare landscape.
  
  

Education/Experience

• Bachelor's degree in Healthcare or related field required. Master’s or Doctoral degree preferred.
• 7+ years of program development, program management and/or project management experience in a healthcare environment.
• Strong understanding of contemporary clinical, operational, pharmacy relations, and regulatory pharmacy practices.
• Background in managed care and specialty pharmacy benefit management.
• Clinical program development experience in chronic conditions a plus.
  
  

Highly Preferred clinical license (e.g., LCSW, LCPC, LICSW, Ph.D. or Psy.D., PMHNP, CNS, LMHC, RN, Pharm)

• Licensed Clinical Social Worker (LCSW)
• Licensed Clinical Professional Counselor (LCPC)
• Licensed Independent Clinical Social Worker (LICSW)
• Licensed Mental Health Counselor (LMHC)
• Licensed Clinical Psychologist (Ph.D. or Psy.D.)
• Psychiatric Mental Health Nurse Practitioner (PMHNP)
• Clinical Nurse Specialist in Psychiatry (CNS)
• Licensed Mental Health Counselor (LMHC)
• Registered Nurse (RN)
• Licensed Pharmacist (Pharm.D)
  
  

*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.*

Pay Range $145,100.00 - $268,800.00 per year

Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Research, Analyst, and Information Technology

• Industries

  Hospitals and Health Care and Insurance

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