$271K - 516K a year
Provide strategic and operational direction for utilization management, quality, and clinical policies, lead and mentor medical directors and physician consultants, oversee performance and quality improvement initiatives, and collaborate with IT and operational leaders.
MD or DO with 5+ years managed care clinical experience, current state medical license, board certification in specialty, leadership experience in managed care medical and quality management, and ability to manage multiple projects and teams.
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. Position Purpose: Provide strategic and operational direction for utilization management, quality, and administrative or clinical policies, procedures and programs. Implement and monitor regional and line of business performance and medical/clinical management programs throughout state. Provide overall mentorship, development and supervision to a team of experienced Medical Directors and physician consultants, as well as partnership with key operational and Line of Business leaders. Provide clinical leadership and administrative guidance to all departments within and affiliated with Medical Affairs Office. Direct performance and quality improvement initiatives. Develop and maintain operational policies for the department. Provide leadership, partnership, and accountability for provider or provider group performance of assigned regions or line of business. Provide leadership to the Informatics Unit and provides clinical liaison to IT department. Assists with utilization management-related activities, as needed. Education/Experience: Medical Doctor (MD) or Doctor or Osteopathic Medicine (DO) required. 5+ years of managed care clinical experience required. Experience working with health analysts and Information Technology in developing process and utilization-based reports. Demonstrated ability to adjust to changing priorities while remaining focused on overall strategic goals and project deliverables. Demonstrated ability to manage multiple projects and/or multiple teams, either directly or through influence, to achieve desired outcomes (including quality, medical management, and growth, etc.). A demonstrated record of Managed Care Medical and Quality Management leadership experience. MD licensed in Current State required. Current board certification in trained specialty required. Pay Range: $271,000.00 - $515,500.00 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 Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.
This job posting was last updated on 9/1/2025