Job Description
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.
**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 estab...
**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 estab...