Centene Corporation
Vice President, Population Health & Clinical Operations - Medicare
Centene Corporation, Des Moines, Iowa, United States,
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:
In partnership with the Chief Medicare Officer, serve as a key stakeholder, decision maker, and catalyst for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level.Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislatureUnderstand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple AimUnderstand the unique community health needs and the attributes of the populations served to drive development of programs and serviceUses analytics to identify key insights about the populations served and drive the development of the interventions to target unique populationsOversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined partnership agreementOrchestrates all elements of the population health strategy for the businessDrives HBR initiatives locally through strong partnership and routine with FinancePartners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomesLiaises with state regulators for clinical programsCoordinates quality initiatives (audits, star ratings, contract reviews, etc.) and activate enterprise and local policiesInforms and executes against contracts (including provider contracts) – driving outcomes captured in contract and operationalizing locallyContributing member of enterprise and local committeesServes as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needsExecutes on standards and customizing per local requirements while partnering with the COEs to drive continuous improvement through governance and performance monitoringEducation/Experience:
Bachelor's degree with 5+ years of relevant experience. Previous experience in a managed care organization strongly preferred. 3+ years of leadership experience. Master's Degree preferred.
License/Certification:
Current state RN license preferred.Pay Range:
$178,500.00 - $338,800.00 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.
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Position Purpose:
In partnership with the Chief Medicare Officer, serve as a key stakeholder, decision maker, and catalyst for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level.Provide strategic leadership for population health internally, as well as with providers, community organizations, advocacy groups, and applicable legislatureUnderstand the local healthcare landscape to look for key drivers & opportunities for innovative models targeting the Quadruple AimUnderstand the unique community health needs and the attributes of the populations served to drive development of programs and serviceUses analytics to identify key insights about the populations served and drive the development of the interventions to target unique populationsOversees performance of all UM functions (prior authorization, concurrent review) for the market per the defined partnership agreementOrchestrates all elements of the population health strategy for the businessDrives HBR initiatives locally through strong partnership and routine with FinancePartners with MDs to translate the needs of the members into intentional clinical program design that delivers successful health outcomesLiaises with state regulators for clinical programsCoordinates quality initiatives (audits, star ratings, contract reviews, etc.) and activate enterprise and local policiesInforms and executes against contracts (including provider contracts) – driving outcomes captured in contract and operationalizing locallyContributing member of enterprise and local committeesServes as an integral member of the executive leadership team, charged with delivering clinical solutions to evolving business needsExecutes on standards and customizing per local requirements while partnering with the COEs to drive continuous improvement through governance and performance monitoringEducation/Experience:
Bachelor's degree with 5+ years of relevant experience. Previous experience in a managed care organization strongly preferred. 3+ years of leadership experience. Master's Degree preferred.
License/Certification:
Current state RN license preferred.Pay Range:
$178,500.00 - $338,800.00 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.
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