Centene Corporation

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

Supervisor, Clinical Operations

Clinical OperationsClinical OperationsFull TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

Location

Arizona

Posted

31 days ago

Salary

$87K - $161.3K / year

Bachelor Degree4 yrs expEnglish

Job Description

• Supervises and supports the implementation of clinical initiatives and/or programs to enhance care coordination, operational efficiency, and quality outcomes • Oversees daily clinical operations and staff to ensure processes are executed consistently in alignment with NCQA standards, state regulations, and applicable contractual requirements • Coordinates and supports clinical, quality, documentation, and data submission activities to support operational and quality objectives • Reviews utilization, outcome, safety, and cost data and escalates identified trends or concerns to leadership for further action • Monitors individual and team performance metrics, identifies performance gaps, and provides coaching or escalates concerns to leadership as appropriate to support operational and quality goals

Job Requirements

  • Bachelor's degree
  • 4+ years of related experience
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • Experience in clinical appeals or utilization management processes strongly preferred

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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