Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
We are hiring a Chief Medical Officer for Louisiana Healthcare Connections, a subsidiary of Centene Corproration. This is a hybrid role with a mix of remote, in-office engagement (Baton Rouge) and minor travel within the state.
Qualifications for this role include:
MD or DO without restrictions
Board Certified Physician
Louisiana license
Louisiana resident
Medicaid experience highly preferred
Position Purpose: Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.
Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.
Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.
Provide oversight and direction for staff and provider training and education.
Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.
Review case management data, identifies trends and gaps in care and recommends corrective actions.
Review all quality of care issues and oversees the development and implementation of processes for improvement.
Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.
Monitor member and provider satisfaction and recommends and implements 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.
Education/Experience:
Medical Doctor (MD) or Doctor of Osteopathy required.
7+ years clinical experience in the practice of medicine required.
Management experience preferred.
Utilization Management experience and knowledge of quality accreditation standards preferred.
Actively practices medicine and provides leadership in the local medical community preferred.
Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.
Experience treating or managing care for a culturally diverse population preferred.
Pay Range: $264,300.00 - $502,000.00 per year
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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
...period. Get paid faster. Another reason to join our team today! Here are a few things you can expect when you join our team as a Barista: Greet guests in a courteous and friendly manner. Process orders and enter them accurately into the POS system. ...
...Michigan to help clients navigate their options with no income cap. This role offers warm leads and training, allowing you to work from home without cold calling. Candidates must have a strong work ethic, be coachable, and have a desire to increase their earnings. All...
...Seeking a part-time Independent Contractor, the Senior UX/UI Designer will support a large-scale events and experiences team by defining the design language for digital experiences and creating visual elements that enhance user navigation across various platforms.Key...
...believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Starbucks Barista can provide you with the:Knowledge of guest service fundamentals and experience building a guest first culture in Starbucks...
...Paramedics IMMEDIATELY HIRING! Paramedics for Deployment Emergency Response Team- Contingent Worker We are looking for energetic and self-motivated Paramedics to support our Office of Emergency Management (OEM) when disaster strikes. When our nation calls,...