Remote Medical Director, Appeals - California - Centene Corp.

    Centene Corp.
    Centene Corp. California

    10 hours ago

    $236,500 - $449,300 (USD) per year
    Description

    As a Remote Medical Director, Appeals, you will have the opportunity to change everything for our 28 million members as a clinical professional on our Medical Management/Health Services team at Centene. We offer competitive benefits including a fresh perspective on workplace flexibility.

    Position Purpose

    Assist the Chief Medical Director in directing and coordinating medical management, quality improvement and credentialing functions for the business unit. Provide medical leadership of all utilization management, cost containment and medical quality improvement activities.

    • Perform 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
    • Support effective implementation of performance improvement initiatives for capitated providers

    Responsibilities


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