Chief Medical Officer, Ohio

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 (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.

License/Certifications:

• Active Board certification in a medical specialty recognized by the American Board of Medical Specialists required.
• Current OH state license (OR ABLE TO OBTAIN ONE) as a MD or DO without restrictions, limitations or sanctions from government programs required.
  

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.