Senior Medical Director Appeals, National Physical Health UM Team at Centene

**Who this is for** This role is designed for a seasoned physician leader with at least 7 years of clinical practice and significant experience managing large medical teams in a corporate or matrixed insurance environment. You must have deep expertise in Medicare policies, including ALJ hearings and STARS metrics, to lead utilization management and appeals functions effectively. **Key highlights** This is a high-level leadership opportunity offering a competitive salary range up to $440k, depending on experience. The role is fully remote, providing significant geographic flexibility, and offers a comprehensive benefits package including stock purchase plans and tuition reimbursement. You will have a direct impact on clinical quality and safety for over 28 million members. **You might be a good fit if you...** * Are a Board Certified MD or DO with an unrestricted medical license. * Have 5+ years of management experience leading other physicians and clinical directors. * Possess deep technical knowledge of Medicare NCDs, LCDs, and IRE challenges. * Are comfortable working a flexible schedule that may include weekends/holidays to ensure clinical coverage.