Centene Corporation logo
Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Behavioral Medical Director

Medical DirectorMedical DirectorFull TimeRemoteLeadTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Arizona + 3 moreAll locations: Arizona, Florida, Ohio, Missouri

Posted

72 days ago

Salary

$231.9K - $440.5K / year

Seniority

Lead

Postgraduate DegreeEnglish

Job Description

• Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities • Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services • Supports effective implementation of performance improvement initiatives for capitated providers • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members • Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals

Job Requirements

  • MD or DO without restrictions
  • American Board certified in Psychiatry, required
  • American Board certified in Child or Addiction Psychiatry, preferred
  • Utilization Management experience and knowledge of quality accreditation standards

Benefits

  • competitive pay
  • health insurance
  • 401K and stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules

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