Chief Medical Officer

Centene Corporation • Baton Rouge, LA • 2d ago

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 Louisiana Healthcare Connections, a subsidiary of Centene Corproration. This is a hybrid role with a mix of remote, in-office engagement (Baton Rouge) and minor travel within the state.

Qualifications for this role include:

MD or DO without restrictions

Board Certified Physician

Louisiana license

Louisiana resident

Medicaid experience highly preferred

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 (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.

Pay Range: $264,300.00 - $502,000.00 per year

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.

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

Go to Apply

Medical Director - Claims

Humana • Baton Rouge, LA • 3d ago

Hospital & Medical

Become a part of our caring community The Medical Director uses their medical background, experience, and judgement. You will make determinations whether they should authorize requested services, request level of care, a...

3d ago

Go to Apply

Home Health Physical Therapist

CenterWell • Baton Rouge, LA • 4d ago

Hospital & Medical

Become a part of our caring community As a therapist at CenterWell Home Health, reporting to the Clinical Manager, you will help patients regain strength, mobility and independence, from the comfort of their homes. By de...

4d ago

Go to Apply

Home Health Physical Therapist

CenterWell • Plaquemine, LA • 4d ago

Hospital & Medical

4d ago

Go to Apply

Behavioral Health Medical Director

Humana • Baton Rouge, LA • 6d ago

Hospital & Medical

Become a part of our caring community The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately c...

6d ago

Go to Apply

Manufacturing Technology Leader

Amrize • Baton Rouge, LA • 6d ago

Hospital & Medical

Manufacturing Technology Leader Requisition ID: 15350 Location: Remote, US, 60631 Pay Type: Salary COMPANY OVERVIEW Amrize is building North America. From bridges and railways to data centers, schools, offices and homes,...

6d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)