Lead Clinical Program Development Strategist

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.
 

The ideal candidate should possess maternal child health/prevention & wellness clinical experience, along with expertise in designing and developing programs specific to this role. An RN license is a mandatory requirement for this position.

This is a remote opportunity, allowing candidates to work from anywhere in the United States.

Position Purpose: Leads and oversees the design of population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Works alongside senior leadership to monitor the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations.

• Leads and oversees the design of highly complex population health strategy initiatives, programs, and operational plans to improve care coordination, health and quality outcomes of members based on population health principles
• Identifies, manages, and tracks clinical, quality, documentation and data submission projects to achieve strategic objectives
• Monitors care management trends and analytics to support program initiatives and efficiencies and help identify high risk member populations
• Develops and reviews with senior leadership financial budgets and forecasts for strategic planning and initiatives
• Coordinates with senior leadership strategic planning initiatives in accordance with federal and state regulations and company policy
• Works cross functionally to identify areas for process improvements to manage costs and provide recommendations to improve health and quality outcomes
• Tracks and monitors program participation and member outcomes to access the efficacy of programs and interventions and make recommendations for improvement
• Collaborates with senior leadership team to provide insights to improve coordination of care, member utilization, and improve overall health and quality outcomes
• May work across multiple Line of Business and states to encompass program needs into population health strategies
• Works with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
• May assist population health strategy senior leadership team with onboarding, hiring, and training care management team members
• Performs other duties as assigned
• Complies with all policies and standards

The ideal candidate should possess maternal child health/prevention & wellness clinical experience, along with expertise in designing and developing programs specific to this role. An RN license is a mandatory requirement for this position.

This is a remote opportunity, allowing candidates to work from anywhere in the United States.

Education/Experience: Requires a Bachelor's degree and 5 – 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

License/Certification:

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required

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.  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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act