Centene Management Company LLC is hiring a Vice President, Population Health & Clinical Operations to provide strategic leadership for our healthcare initiatives. In this remote role, you will serve as a catalyst for market-level population health strategy to achieve the Quadruple Aim.
What You'll Do
- Provide strategic leadership for population health internally and with external partners including providers, community organizations, and advocacy groups.
- Understand the local healthcare landscape to identify key drivers and opportunities for innovative care models.
- Analyze unique community health needs and population attributes to drive program and service development.
- Use analytics to identify insights and drive targeted interventions for specific populations.
- Oversee performance of all Utilization Management functions, including prior authorization and concurrent review.
- Orchestrate all elements of the population health strategy for the business.
- Drive local Health Benefit Ratio initiatives through strong partnership with Finance.
- Partner with medical directors to translate member needs into intentional clinical program design.
- Liaise with state regulators regarding clinical programs.
- Coordinate quality initiatives such as audits, star ratings, and contract reviews.
- Inform and execute against contracts, driving outcomes and operationalizing them locally.
- Serve as an integral member of the executive leadership team, delivering clinical solutions to evolving business needs.
- Execute on standards while customizing for local requirements and partnering with Centers of Excellence for continuous improvement.
What We're Looking For
- Bachelor's Degree
- 5+ years of relevant experience
- Current RN License
- Must have or obtain licensure in California
Nice to Have
- Master's Degree
Team & Environment
You will partner directly with the Chief Medical Officer and serve as a contributing member of enterprise and local committees. This role is an integral part of the executive leadership team.
Benefits & Compensation
- 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 schedules
- Annual compensation range: $185,200.00 - $352,700.00
Work Mode
This is a fully remote position.
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.
