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Centene Corporation Senior Vice President, Medical Affairs in Clayton, Missouri

Position Purpose:

To strategically plan and develop Corporate and Health Plan Medical Management functions which include medical review, utilization management, quality improvement, credentialing, health economics, and pharmacy

  • Ensure compliance with Company, Federal, State, National Committee on Quality Assurance (NCQA) and/or Joint Commission on Accreditation of Healthcare Organization (JCAHO) standards

  • Review analyses of activities, costs, operations and forecast data to determine department progress toward stated goals and objectives

  • Participate in formulating and administering company and departmental policies and developing long range goals and objectives

  • Provide medical management insight and recommendations on due diligence activities

  • Participate in development of new business opportunities including new health plan acquisitions or special programs

  • Confer with head of the health plan, medical director and appropriate corporate staff to review achievements and discuss required changes in goals or objectives resulting from current status and conditions

  • Serve as member of management committees on special studies

  • Develop alliances with network physicians, hospitals, and ancillary providers

Education/Experience:

Must be a board certified Medical Doctor or Doctor of Osteopathy and have a current state medical license without restrictions. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred. Experience as a Senior Medical Director. Previous experience managing staff, including hiring, training, managing workload and performance. Experience as an HMO Medical Director preferred.

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.

TITLE: Senior Vice President, Medical Affairs

LOCATION: Clayton, Missouri

REQNUMBER: 1196765

COMPANY: Clinical & Care Management

POSITION TYPE: Both

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