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This position was posted on April 8, 2026 and is likely no longer accepting applications. We've kept it here for historical reference. Check out the similar jobs below!
Job Overview
Location
9 Locations
Job Type
Full-time
Category
Other
Date Posted
April 8, 2026
Full Job Description
đź“‹ Description
- • As a Remote Medical Director, Appeals at Centene Corporation, you will provide critical medical leadership to improve care quality and cost-effectiveness for 28 million members, directly supporting the Chief Medical Director in shaping medical management strategies.
- • Your day-to-day responsibilities include conducting medical reviews for complex utilization cases, leading quality improvement initiatives, coordinating care for high-risk patients, representing the business unit in clinical and regulatory forums, and supporting physician education and committee functions.
- • You will join Centene’s Medical Management/Health Services team, a diversified national organization committed to workplace flexibility, innovation, and equitable healthcare access across 9 locations with remote work options.
- • In this role, you will deepen your expertise in healthcare policy, utilization management, and quality accreditation while influencing clinical practice patterns, provider alliances, and medical necessity decisions at scale.
🎯 Requirements
- • Medical Doctor (MD) or Doctor of Osteopathy (DO) degree
- • Active, unrestricted state medical license
- • Board certification in a medical specialty recognized by ABMS or AOA
- • Experience in utilization management, quality improvement, or medical review
- • Active clinical practice (currently treating patients)
- • Experience working with culturally diverse populations
🏖️ Benefits
- • Competitive annual pay range of $236,500 to $449,300
- • Comprehensive health insurance, 401(k), and employee stock purchase plans
- • Tuition reimbursement and paid time off plus holidays
- • Flexible work arrangements including remote, hybrid, field, or office schedules
- • Commitment to diversity, equity, and inclusion as an equal opportunity employer
Skills & Technologies
About Centene Corporation
Centene Corporation is a publicly traded managed-care enterprise that arranges health-benefit programs for government-sponsored and privately insured individuals. Operating across all 50 U.S. states and internationally, the company focuses on under-insured and uninsured populations through Medicaid, Medicare, and Marketplace offerings. Its services include behavioral health, pharmacy benefits, vision, dental, telehealth, and in-house clinical programs. Centene partners with physicians, hospitals, and community organizations to coordinate cost-effective care, emphasizing data analytics and value-based reimbursement models. Headquartered in St. Louis, Missouri, it serves more than 25 million members, positioning itself as a leading intermediary between payers and healthcare providers.
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