Director, Care Management

Centene

Remote
$127,300.00 - $236,100.00 py; not specified; compr...
Hybrid
Care management team leadership
Develop high-quality healthcare outcomes
Cost-effective healthcare initiatives
Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes

Job Summary

  • Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes.
  • Develops strategies and objectives within care management to improve member and/or provider experience.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work.

Matching Summary

Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes.

Salary

$127,300.00 - $236,100.00 per year; Not specified; Comprehensive benefits package

Skills & Requirements

Must-have

  • Care management team leadership
  • Develop high-quality healthcare outcomes
  • Cost-effective healthcare initiatives
  • Improve member and provider experience
  • Regulatory compliance (NCQA, federal, state)

Nice-to-have

  • Payer care management trends
  • Clinical care pathway development
  • Inter-departmental collaboration
  • Talent management and development

Key Requirements

  • Bachelor's degree and 7+ years of related experience
  • Prior management experience
  • Active RN license preferred
  • Experience with Utilization Management (UM)
  • Experience with Care Management (CM) activities
  • Experience with cost of care initiatives
  • Demonstrated leadership experience
  • Reside in Michigan or surrounding state

Work Rights

Not specified

Tailored Resume

Cover Letter