Vice President, PHCO & Utilization Management at Centene

This is a high-level leadership role for a seasoned healthcare executive with over a decade of experience in managed care and clinical operations. The ideal candidate has a strong financial acumen and a proven track record of managing complex medical management programs, specifically within governmental health settings. The position offers significant compensation and the flexibility of a fully remote work arrangement, though it does require approximately 25% travel. As a key executive, you will have the authority to drive large-scale standardization across medical management policies and quality improvement initiatives for 28 million members. **You might be a good fit if you...** * Have 10+ years of healthcare experience, specifically in utilization and care management. * Are an expert in Lean or Six Sigma methodologies and prioritize operational efficiency. * Possess a deep understanding of NCQA and URAC accreditation standards. * Thrive in a strategic role that balances corporate standardization with specific regional market needs.