Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Clinical Program Manager
Clinical OperationsClinical OperationsFull TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn
Location
Pennsylvania
Posted
43 days ago
Salary
$87.7K - $157.8K / year
Bachelor Degree5 yrs expEnglish
Job Description
• responsible for identifying, managing and tracking clinical, quality, correct coding, documentation and data submission projects
• facilitates the development of internal and external reports and the delivery of data as needed
• works closely with the Regional Medical Director to analyze data and develop and implement key interventions
• serves as project leader for cross functional initiatives that are intended to drive performance improvement
• facilitates the development of clinical reports and the delivery of data to key provider partners
• performs detailed analysis of data, workflows, policies, procedures and organization of staff
Job Requirements
- Bachelor’s Degree in Nursing, International Medical Graduate, Master’s Degree in Public Health (MPH), Hospital Administration (MHA) or Business Administration (MBA) or equivalent experience
- Five to seven years managed care, hospital or medical group experience, focusing on quality improvement, utilization management, or clinical operations
- Experience analyzing and presenting data to drive outcomes
- Experience making presentations in group settings
- At least two years project management experience of managing a project at any level at a medical group, IPA or health plan setting
- Licensed behavioral health clinician (LMFT, LCSW, LPC, Psychologist) or RN with experience in a psychiatric setting required
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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