This role provides medical leadership for utilization management, cost containment, and quality improvement activities for 28 million members
Job Summary
This role provides medical leadership for utilization management, cost containment, and quality improvement activities for 28 million members.
The incumbent will conduct regular rounds to assess high-risk patients and collaborate with care management teams to optimize outcomes.
Centene offers competitive pay ranging from $236,500 to $449,300 annually along with comprehensive benefits including 401K and flexible work schedules.
Matching Summary
This role provides medical leadership for utilization management, cost containment, and quality improvement activities for 28 million members.
Salary
Base: $236,500.00 - $449,300.00 per year; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off
Skills & Requirements
Must-have
Board certification in medical specialty
Active MD or DO state license
Utilization management experience
Quality accreditation standards knowledge
Complex case medical necessity review
Nice-to-have
Experience with culturally diverse populations
Coursework in health administration or financing
Internal or Family Medicine certification
Mountain or Pacific Time Zone residence
Provider network development experience
Key Requirements
Medical Doctor or Doctor of Osteopathy degree
Board certification recognized by ABMS or AOA
Current unrestricted state license as MD or DO
Prior utilization management experience preferred
Residence in Mountain or Pacific Time Zone preferred