Remote Medical Director, Appeals

Centene

Base: $236,500.00 - $449,300.00 py; bonus/equity: ...
Hybrid
Active md or do license without restrictions
Board certification in internal or family medicine
Experience with utilization management and appeals
This role provides medical leadership for utilization management, cost containment, and quality improvement activities for a national organization serving 28 million members

Job Summary

  • This role provides medical leadership for utilization management, cost containment, and quality improvement activities for a national organization serving 28 million members.
  • The successful candidate will direct complex medical necessity appeals, conduct regular rounds for high-risk patients, and collaborate with care management teams to optimize outcomes.
  • Centene offers a comprehensive benefits package including competitive pay ranging from $236,500 to $449,300, health insurance, 401K, and flexible remote work options.

Matching Summary

This role provides medical leadership for utilization management, cost containment, and quality improvement activities for a national organization serving 28 million members.

Salary

Base: $236,500.00 - $449,300.00 per year; Bonus/Equity: Not specified; Benefits: Competitive pay, health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Active MD or DO license without restrictions
  • Board certification in Internal or Family Medicine
  • Experience with utilization management and appeals

Nice-to-have

  • Coursework in Health Administration or Insurance
  • Experience treating culturally diverse populations
  • Knowledge of quality accreditation standards

Key Requirements

  • Medical Doctor (MD) or Doctor of Osteopathy (DO) degree
  • Current state license as MD or DO without sanctions
  • Active Board certification recognized by ABMS or AOA

Work Rights

Not specified

Tailored Resume

Cover Letter