Director, Population Health Strategy

Centene

6d • Remote

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Candidates must reside in Michigan or a surrounding state and be able to accommodate up to 25% field or in-office work. Highly preferred candidates will have experience with Utilization Management (UM), Care Management (CM) activities, cost of care initiatives, and demonstrated leadership experience. Position Purpose: Directs the design of population health strategy initiatives and programs to improve care coordination and health and quality outcomes including developing efficiencies in programs (clinical and non-clinical). Oversees the effectiveness of care and develops process improvements to manage costs and to comply with federal and state regulations.

Requirements

• Requires a Bachelor's degree and 7+ years of related experience, including prior management experience.
• Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Nice To Haves

• Highly preferred candidates will have experience with Utilization Management (UM), Care Management (CM) activities, cost of care initiatives, and demonstrated leadership experience.

Responsibilities

• Directs process improvements for the population health strategy team to achieve cost-effective healthcare results and comply with federal and state regulations to improve health and quality outcomes
• Leads population health strategy team on performance, improvement, and career growth path considerations
• Leads and organizes population health strategies for National Committee for Quality Assurance (NCQA) standards, state, and/or other accreditations
• Contributes to the evaluation of population health strategy operations to identify efficiencies in clinical and non-clinical programs
• Develops long-term population health strategies and influences decisions by providing recommendations that align to organizational objectives
• Develops department budget while collaborating inter-departmentally and with senior leadership team
• Develops the overall strategy for onboarding, hiring, and training new population health strategy team members to ensure adequate training and high-quality care to improve care coordination and health and quality outcomes including efficiencies in programs
• Works cross functionally to drive process improvements to manage costs and provide recommendations to improve health and quality outcomes
• Leads, develops, and ensures clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
• May work across multiple Line of Business and states to encompass program needs into population health strategies
• Performs other duties as assigned
• Complies with all policies and standards

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees