Manager, Clin Business Monitoring

Centene

Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Design and operational leadership of clinical monitoring team
Implement process improvements for compliance
Develop training plans for clinical staff
The incumbent is responsible for the design, development, and operational leadership of the Clinical Business Monitoring Team

Job Summary

  • The incumbent is responsible for the design, development, and operational leadership of the Clinical Business Monitoring Team.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and tuition reimbursement.
  • This role requires a related New York certification or licensure and involves ensuring department activities comply with federal and state regulations.

Matching Summary

The incumbent is responsible for the design, development, and operational leadership of the Clinical Business Monitoring Team.

Salary

Base: $87,700.00 - $157,800.00 per year; Bonus/Equity: Not specified; Benefits: Competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Design and operational leadership of clinical monitoring team
  • Implement process improvements for compliance
  • Develop training plans for clinical staff
  • Manage direct reports including hiring and reviews
  • Apply Medicare and Medicaid regulatory specifications

Nice-to-have

  • Collaborative relationships with provider network
  • Proactive monitoring of quality metrics
  • Experience with NCQA and CMS audit standards
  • Cross-functional collaboration on case management
  • Building collaborative relationships to resolve quality issues

Key Requirements

  • Bachelor's Degree in Public Health, Nursing, or related field
  • 5+ years experience in nursing, clinical setting, or managed care
  • New York certification or licensure required
  • 2+ years experience leading/supervising others
  • Preferred: Licensed Registered Nurse (RN) or Certified Case Manager (CCM)

Work Rights

Not specified

Tailored Resume

Cover Letter