Remote Medical Director- New York

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
We’re Hiring: Full time Medical Directors
Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace.
Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community?
Qualifications for this role include:
MD or DO without restrictionsMust be licensed in New YorkBoard certified in Internal Medicine or Family MedicineUtilization Management experience and knowledge of quality accreditation standards.Actively practices medicine
Position Purpose:Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.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.Supports effective implementation of performance improvement initiatives for capitated providers.Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.Assists the Chief Medical Director in the functioning of the physician committees including c

Requirements will be detailed in the application process.

Responsibilities will be detailed during the interview process.

Apply online at: https://www.themuse.com/jobs/centenecorporation/remote-medical-director-new-york-a677f8