Centene seeks a Vice President, Medical Management for Managed Health Services (MHS), their health plan in Indianapolis, IN. With more than 400,000 covered lives, MHS is Centene’s second oldest health plan, having established operations 22 years ago. It remains one of Centene’s top performing plans nationwide. MHS was the first Medicaid managed care plan in the state of Indiana, and today includes Medicaid, ABD, TANF, and Medicare Advantage populations with a 4-STAR rating.
Centene serves more than 12 million members, through programs and services to government sponsored healthcare programs, focusing on under-insured and uninsured individuals. Fortune Magazine has ranked Centene Corporation No. 61 in its 2017 FORTUNE 500 list of largest corporations in the United States, ranked by revenue, up from the 124th spot in 2016.
The Vice President, Medical Management will lead the development and implementation of short term, long term, and cost saving initiatives of MHS Indiana’s plans and products. This role will oversee all aspects of disease and care management processes and play a key role in the strategic development of the health plan, interacting with key stakeholders, provider leaders, and regulatory authorities.
- RN degree, with Bachelor’s or BSN required. MBA preferred.
- Prior experience leading the care management process in a health plan or health system with a risk-based arrangement (ACO or value-based reimbursement).
- Thorough understanding of medical information systems, medical claims payment process, coding, and case management practices, preferably in the governmental setting.
- Proven background leading a large of staff case managers, including responsibilities for hiring, training, assessment, and managing performance of staff.