Director, Population Health Strategy

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.

• 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

Education/Experience: 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.

Pay Range: $153,300.00 - $282,700.00 per year

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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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