Remote National Medical Director

Centene

Base: $236,500.00 - $449,300.00 py; bonus/equity: ...
Hybrid
Direct medical management of complex cases
Utilization review and cost containment
Quality assurance and accreditation compliance
Centene is seeking a Remote National Medical Director to oversee medical management, quality improvement, and credentialing functions. The ideal candidate will be a licensed medical doctor with experience in utilization management and a focus on improving healthcare quality for a diverse member population

Job Summary

  • This role provides medical leadership to direct utilization management, cost containment, and quality improvement activities for 28 million members.
  • The incumbent will conduct regular rounds for high-risk patients and collaborate with clinical teams to optimize outcomes and reduce unwarranted variation.
  • Centene offers a comprehensive benefits package including competitive pay ranging from $236,500 to $449,300, 401K, stock purchase plans, and flexible remote work options.

Matching Summary

Match Score: 85

Centene is seeking a Remote National Medical Director to oversee medical management, quality improvement, and credentialing functions. The ideal candidate will be a licensed medical doctor with experience in utilization management and a focus on improving healthcare quality for a diverse member population.

Salary

Base: $236,500.00 - $449,300.00 per year; Bonus/Equity: Additional incentives may apply; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Direct medical management of complex cases
  • Utilization review and cost containment
  • Quality assurance and accreditation compliance
  • Provider network development and expansion
  • Collaboration with care management teams

Nice-to-have

  • Experience with culturally diverse populations
  • Coursework in health administration or financing
  • Strategic planning for performance improvement
  • Public representation on medical philosophy

Key Requirements

  • MD or DO degree required
  • Active state license without restrictions
  • Board certification in a recognized specialty
  • Utilization management experience preferred
  • Knowledge of quality accreditation standards

Work Rights

Not specified

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