Chief Medical Officer at Centene

You are a board-certified MD or DO with at least seven years of clinical practice and a valid, unrestricted license to practice in New York. You have significan

Work type: remote

Location: Long Island City - 25-01 Jackson Ave (10936) | Remote-NY

Salary: $276,400 – $525,800/yr

Type: Full-time

Summary

You are a board-certified MD or DO with at least seven years of clinical practice and a valid, unrestricted license to practice in New York. You have significant experience in medical management and are looking to transition into a high-level clinical leadership role at a major health plan. **What makes it worth a look...** Centene offers a salary range of $276,400 to $525,800 per year for this role. While based in Long Island City, the position operates with a hybrid schedule requiring only 2-3 days per week of in-office attendance. **You might be a good fit if you...** * Hold an active, unrestricted New York medical license. * Possess current board certification from the American Board of Medical Specialists. * Bring direct experience in utilization management and quality accreditation standards. * Have a background in leading clinical care standards or health plan policy development.

Job Description

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 our New York Health Plan, Fidelis Care. Candidates should expect 2-3 days per week of in-office engagement.

Qualifications for this role include:

• MD or DO without restrictions


• Board Certified Physician


• New York license


• New York resident

• 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.

• 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.


• Board certification in a medical specialty recognized by the American Board of Medical Specialists required.


• Certification in a primary care specialty preferred.


• New York state license as a MD or DO without restrictions, limitations or sanctions from government programs required.

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.

View this job on nocollar jobs