Manager, Clinical Programs
Company: Centene Corporation
Location: Walnut Grove
Posted on: October 20, 2019
Position Purpose: In conjunction with the Chief Medical Officer
(CMO) and VP Clinical Programs, manage the implementation and
administration of Clinical Program research and development.
Oversee integration of internal operations needed to ensure
compliance with clinical programs developed that are required under
state contract, RFP, HEDIS, or other national standards.
- Work with CMO and VP, Clinical Programs with new programs
- Research and facilitate implementation of new clinical programs
for Centene Health Plans and/or specialty companies to meet State
contract, RFP, HEDIS, or other organizational needs.
- Coordinate cross-functional meetings with various areas to meet
overall stakeholder expectations and company's objectives for
- Coordinate and/or create policies, procedures, workflow,
training materials, and reporting in accordance with corporate,
state and federal, HEDIS or other requirements.
- Manage the research and implementation functions for Clinical
Programs to ensure program integrity and compliance.
- Oversee the integrity of Clinical Programs developed including
outcome reporting and the publications. Coordinate with Corporate
departments and Health Plans to execute Clinical Programs.
- Examine and evaluate Clinical Program goals, measures, and
outcomes against demographic, historical and geographic membership
and/or provider data. Facilitate ongoing reporting needs to reflect
clinical program outcomes.
- Serve as an interface between the corporate program unit and
Health Plans. Interact with internal Corporate, Health Plan, and
external medical society personnel to assist with development of
- Interact with organizations and State and Specialty Society
points of contact as needed.
- May be required to travel
Education/Experience: Bachelor's degree in Healthcare
Administration, Nursing, related field or equivalent experience. 4+
years of program development and management experience. Previous
experience as a lead in a functional area, managing cross
functional teams on large scale projects or supervisory experience
including hiring, training, assigning work and managing the
performance of staff. Managed care experience preferred.
License/Certification: LPN or RN license. Valid driver's
For Fidelis Care only: NYS unrestricted license as Registered Nurse
(RN) , Licensed Practical Nurse (LPN) or International Medical
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.
Keywords: Centene Corporation, Carmichael , Manager, Clinical Programs, Executive , Walnut Grove, California
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