About This Position
Job Summary
Centene is seeking a full‑time Behavioral Health Medical Director to lead clinical initiatives for its extensive member base. This senior role is part of the Medical Management/Health Services team, shaping the delivery of high‑quality behavioral health care.
Key Responsibilities
- Provide clinical leadership and oversight for behavioral health programs across the organization.
- Develop, implement, and monitor evidence‑based treatment protocols and quality improvement initiatives.
- Collaborate with physicians, therapists, case managers, and external partners to ensure coordinated, patient‑centered care.
- Review and approve complex case plans, utilization reviews, and appeals in accordance with regulatory standards.
- Mentor and support clinical staff, fostering a culture of continuous learning and professional development.
- Analyze outcomes data to drive performance metrics, cost‑effectiveness, and compliance with Medicaid and other government programs.
- Represent the organization in external forums, conferences, and stakeholder meetings.
Qualifications
- Medical degree (MD or DO) with board certification in Psychiatry or Addiction Medicine.
- Minimum 7 years of clinical experience in behavioral health, including leadership or supervisory roles.
- Strong knowledge of Medicaid, Medicare, and other government‑sponsored health plans.
- Proven ability to develop clinical policies, conduct utilization reviews, and improve care pathways.
- Excellent communication, analytical, and interdisciplinary collaboration skills.
- Licensure to practice medicine in the United States.
Benefits
- Competitive, comprehensive benefits package.
- Flexible work arrangements and remote‑work options.
- Opportunities for professional growth and continuing education.
Frequently Asked Questions
What does a Behavioral Health Medical Director do at Centene?
The director provides clinical leadership, develops treatment protocols, oversees utilization reviews, and ensures high‑quality behavioral health care for members.
What qualifications are required for this role?
A MD or DO with board certification in Psychiatry or Addiction Medicine, at least 7 years of behavioral health experience, and knowledge of Medicaid/Medicare regulations.
Does Centene offer flexible work arrangements?
Yes, Centene provides flexible work options and a modern benefits package to support work‑life balance.
Frequently Asked Questions
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