What are the responsibilities and job description for the Senior Vice President of Clinical Operations position at Jobleads-US?
Centene offers a unique opportunity for a Senior Vice President of Clinical Operations to lead our Enterprise Population Health & Clinical Operations (PHCO) Care Management programs.
About the Role:
- This role requires a strong clinical strategic vision, objectives, and procedures to deliver cost-effective, clinically appropriate services in all products.
- The successful candidate will establish the organization's focus and direction regarding models of care that incorporate needs of all lines of business, emphasizing quality and operational efficiencies across the organization.
- The incumbent will oversee the development and implementation of care management processes to ensure NCQA, URAC, and HEDIS measures.
Responsibilities:
- Establish and execute medical management and quality improvement programs, processes, and initiatives to ensure improved quality outcomes and achievement of Quality & Affordability targets.
- Drive discipline, consistency, and execution of standardized initiatives and best practices.
- Foster integration for Medicare Duals Strategy.
- Utilize data sources to develop and implement PHCO strategies that drive value through integrated clinical care models.
- Develop and implement standardization in measuring and monitoring operational and outcome metrics.
- Analyze trends between Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Member Engagement; create programs/pilots to enhance engagement with strategic partners.
- Monitor performance results against established metrics and benchmarks and recommend opportunities for improvement.
Requirements:
- Bachelor's degree with 5 years of relevant experience. Previous experience in a managed care organization is strongly preferred. 3 years of leadership experience. Master's Degree is preferred.
- Current state RN license is preferred.
What We Offer:
- A competitive pay range of $182,100.00 - $345,600.00 per year.
- 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.
Salary : $182,100 - $345,600
