Centene Management Company LLC is hiring a Chief Medical Officer to provide medical oversight and leadership for our Texas health plans. In this role, you will ensure the delivery of cost-effective, quality healthcare services to members. You will serve as the primary clinical advisor and leader for our medical management teams.
What You'll Do
- Serve as clinical advisor and educator to medical management staff to ensure sound clinical judgment in all medical management determinations.
- Provide leadership in the development, implementation, and interpretation of medical review and quality-related policies.
- Provide oversight and direction for staff and provider training and education initiatives.
- Promote positive relations with the local medical community, including periodic consultation with providers.
- Review case management data to identify trends and gaps in care and recommend corrective actions.
- Review all quality of care issues and oversee the development of processes for improvement.
- Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.
- Monitor member and provider satisfaction and recommend changes to improve satisfaction levels.
- Work collaboratively to develop corporate clinical care standards and medical practice policies.
- Provide medical guidance to the Medical Management department.
What We're Looking For
- Medical Doctor (MD) or Doctor of Osteopathy (DO) degree.
- 7+ years of clinical experience in the practice of medicine.
- Board certification in a medical specialty recognized by the American Board of Medical Specialists.
- Current Texas state license as an MD or DO without restrictions, limitations, or sanctions from government programs.
- For Superior HealthPlan: Must reside in Texas.
Nice to Have
- Management experience.
- Utilization Management experience and knowledge of quality accreditation standards.
- Actively practices medicine and provides leadership in the local medical community.
- Course work in Health Administration, Health Financing, Insurance, and/or Personnel Management.
- Experience treating or managing care for a culturally diverse population.
- Certification in a primary care specialty.
Benefits & Compensation
- Compensation: $271,000.00 - $515,500.00 per year.
- Competitive pay.
- Health insurance.
- 401K and stock purchase plans.
- Tuition reimbursement.
- Paid time off plus holidays.
- Flexible approach to work with remote, hybrid, field, or office work schedules.
Work Mode
This is a hybrid position based in Texas.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
