Chief Medical Officer - Florida
Company: Centene Corporation
Location: Orlando
Posted on: October 20, 2024
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.Position Purpose:
Provide medical oversight, expertise and leadership to ensure the
delivery of cost effective, quality healthcare services to health
plan members.
- 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.Education/Experience: Medical Doctor or Doctor of
Osteopathy. 7+ years of clinical experience in the practice of
medicine. Management experience preferred. Utilization Management
experience and knowledge of quality accreditation standards
preferred. Actively practices medicine and provides leadership in
the local medical community. Course work in the areas of Health
Administration, Health Financing, Insurance, and/or Personnel
Management is desired. Experience treating or managing care for a
culturally diverse population preferred.License/Certification:
Board certification in a medical specialty recognized by the
American Board of Medical Specialists. Current state license as a
MD or DO without restrictions, limitations or sanctions from
government programs.Pay Range: $295,500.00 - $561,500.00 per
yearCentene 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. Total compensation may also include additional
forms of incentives.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.Qualified applicants with arrest or conviction records will be
considered in accordance with the LA County Ordinance and the
California Fair Chance Act.
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Keywords: Centene Corporation, Clearwater , Chief Medical Officer - Florida, Executive , Orlando, Florida
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