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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