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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