Centene is seeking a clinical leader to support Medical Management/Health Services by directing utilization management, quality improvement, and credentialing across the unit.
You will collaborate with physicians, network providers, and review complex cases to ensure medical necessity, optimize outcomes, and maintain regulatory compliance.
Require MD/DO, board certification, and experience in UM and quality accreditation; experience with diverse populations is preferred.
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This position is listed as full time and onsite.