Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit
Job Summary
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.
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 with remote, hybrid, field or office work schedules.
Matching Summary
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Skills & Requirements
Must-have
Utilization Management experience
Quality accreditation standards knowledge
Actively practices medicine
Medical review activities
Provider network development
Nice-to-have
Culturally diverse population experience
Health Administration coursework
Health Financing coursework
Insurance coursework
Personnel Management coursework
Key Requirements
MD or DO without restrictions
Board certified by ABMS or AOA
Internal and Family Medicine certification preferred