You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. We’re Hiring: Remote Medical Directors Nationwide Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace. Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community? Qualifications for this role include: - Licenses MD or DO without restrictions - Board certified by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Service (Internal and Family Medicine, preferred) - Utilization Management experience and knowledge of quality accreditation standards. - Actively practices medicine Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. - Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. - Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. - Supports effective implementation of performance improvement initiatives for capitated providers. - Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. - Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. - Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. - Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. - Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. - Participates in provider network development and new market expansion as appropriate. - Assists in the development and implementation of physician education with respect to clinical issues and policies. - Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. - Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. - Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. - Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. - Develops alliances with the provider community through the development and implementation of the medical management programs. - As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. - Represents the business unit at appropriate state committees and other ad hoc committees. - May be required to work weekends and holidays in support of business operations, as needed. Education/Experience: - Medical Doctor or Doctor of Osteopathy. - Utilization Management experience and knowledge of quality accreditation standards preferred. - Actively practices medicine. - Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. - Experience treating or managing care for a culturally diverse population preferred. License/Certifications: - Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. - Certification in Internal or Family Medicine, preferred. - Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs. Centene offers 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

About the role: We’re seeking a Med/Psych Advanced Practice Clinician (APC) who thrives in a dynamic, collaborative environment and is eager to deliver high-quality care across both medical and behavioral health domains. The ideal candidate brings clinical expertise in primary care and psychiatric management—comfortable managing complex, comorbid patients in virtual settings. As a Med-Psychiatric Advanced Practice Clinician, you will serve patients in our High Risk Advanced Behavioral Health Model in a BH-first model as their longitudinal provider with the primary goal of keeping our patients healthy at home. Our High Risk Advanced BH patients are those who have Serious Mental Illness (SMI) and/or Substance Use Disorder (SUD) and often also have co-occurring complex chronic medical conditions who have high risk of hospital and ED utilization for either or both medical and psychiatric reasons. You will work as a part of a multidisciplinary team consisting of supervising med-psychiatric physicians, behavioral health clinicians (LCSW/LPC), and health advocates who have BH expertise. With your team, you’ll provide longitudinal care and build trusted relationships with your patients—delivering care virtually and often facilitated by an in-home BH-trained health advocate. You’ll diagnose and manage chronic psychiatric and medical conditions, ensure evidence-based preventive care, address urgent needs, and identify and help overcome any barriers or obstacles to their health. This role is ideal for an APC who embraces innovation, values autonomy, and wants to help shape clinical models that merge technology, compassion, and evidence-based practice. Responsibilities will include: - Patient Care Delivery - Conduct virtual onboarding and follow-up visits, facilitated by a Health Advocate, to complete comprehensive biopsychosocial assessments, diagnose and manage chronic conditions using evidence-based guidelines, perform preventive screenings, and close preventive and quality care gaps - This includes addressing BOTH medical and behavioral health diagnoses and treatment plans including chronic disease management, acute medical issues, depression, anxiety, bipolar disorder, PTSD, schizophrenia, substance use disorders, and other mental health disorders - Guarantees every patient is seen face-to-face annually and proactively completes additional visits when clinical needs or care gaps arise - Order and follow up on labs and imaging to inform diagnosis, prevention, and treatment - Manage patients with chronic conditions (e.g., hypertension, diabetes, COPD, heart disease) in collaboration with external providers by developing individualized, evidence-based care plans to optimize health outcomes - Manage patients with substance use disorders and prescribe medications for opioid use disorders, such as suboxone, and medications for alcohol use disorder, such as naltrexone (IM/PO) or acamprosate (this includes suboxone induction and outpatient alcohol detox for patients who are candidates, in supervision with the our Psychiatrist) - Prescribe long-acting injectable medications for appropriate patients - Provide health coaching, lifestyle counseling, and patient education to promote self-management and improved outcomes - Coordinate necessary referrals or home-based services with specialists and community partners - Participate in a rotating call schedule to address urgent clinical needs and support more healthy days at home - Clinical coverage and training in the Collaborative Care and Bridge Programs, including Behavioral Health Case Conference, for coverage when colleagues are on leave or vacation - Interdisciplinary Collaboration - Work in close collaboration with Health Advocates- providing clinical support and guidance to their activities to help them coach and empower patients on successful self-management of their health, particularly with outpatient SUD treatment, LAI management, and mental health accompaniment - Work in close collaboration with our Behavioral Health Clinicians in supporting clinical goals and co-managing patients - Refer, collaborate and co-manage patients with our nursing and pharmacy teams - Collaborate with external providers and community organizations to ensure care aligns with patient goals as well as social, home health, and DME needs (this particularly includes external psychiatrists and care managers in community mental health) - Participate in the Advanced BH Case Conference where you will refine treatment plans in a multi-disciplinary fashion, addressing clinical documentation, quality gaps, treatment planning, transitions of care, and complex care planning - Clinical Diagnosis and Documentation, Quality, and Compliance - Ensure accurate and appropriate diagnosis, coding and documentation of chronic conditions with evidence-based treatment plans, including BOTH physical and mental health conditions - Maintain timely, accurate documentation in EMR and custom care platforms - Own the quality of preventative care delivered by helping patients close HEDIS quality gaps - Respond to clinical documentation queries in a timely manner - Technical Fluency and Innovation - Quickly learns and adapts to new tools, software, and systems—including AI-driven solutions—that support patient engagement, care coordination, and clinical decision-making - Understands the intersection of healthcare and technology, leveraging data-driven platforms, electronic medical records, and AI-enabled insights to independently problem solve and improve patient outcomes and operational efficiency - Performs other duties as assigned What makes you a fit for the team: - Passionate about patient-centered, holistic healthcare - Desire to work primarily with patients with severe mental illness and substance use disorders to improve both their medical and behavioral health care through true integration - Thrives in a fast-paced environment and able to adapt and contribute to continuous improvement - Exhibits calm, confident clinical decision-making even in ambiguous or rapidly changing situations - Demonstrates a strong clinical ‘detective’ mindset, investigating across multiple systems to uncover the right diagnosis and supporting evidence, consistently seeking the ‘how’ and ‘why’ while thoroughly documenting patients’ conditions and needs - Comfortably manages high volumes of work, and adapts quickly as priorities shift - Fluent in technology and excited to incorporate new technology and systems into daily practice - Adaptable and flexible, embracing evolving systems and technology-driven workflow enhancements - Demonstrates strong growth mindset, including the willingness to unlearn prior workflows and embrace new approaches - Works collaboratively with teammates and actively seeks opportunities to learn, grow, and elevate team performance, which includes trusting the clinical skills of team members such as behavioral health clinicians - Displays trust in the organization’s mission, values, and direction, and contributes positively to a culture of shared purpose - Flexible and adaptive—comfortable working in a fast-paced, evolving startup culture - Excited about leveraging technology to improve outcomes and access - A strong communicator and collaborator who values teamwork and innovation Desired skills and experience: - Required - Active Nurse Practitioner (NP) or Physician Assistant (PA) license in the state of employment and willingness to obtain additional licensure as requested - Active DEA registration or eligibility to obtain; X-waiver preferred but not required - Active or eligible state-controlled substance license - Current Basic Life Support (BLS) certification - Demonstrated strong clinical judgment and ability to make independent medical decisions - Proficiency in using electronic medical record (EMR) systems - 5+ years of experience working in high risk populations with serious mental illness and substance use disorder with co-occuring complex medical conditions - 2+ years of experience in assessing, provisional diagnosis, planning, and managing behavioral patient care as acquired through clinical experience - Expertise with DSM5 diagnostic criteria - Highly skilled in trauma-informed care and culturally sensitive care. - Experience and comfort working within an interdisciplinary care team, and specifically closely collaborating with community health workers and primary care providers - Preferred: - Certification by the American Nurses Credentialing Center (ANCC) in Psychiatric Mental Health (PMH) as a Psychiatric Mental Health Nurse Practitioner (PMHNP) or Physician Assistant with Psychiatry CAQ - Experience in working in community mental health and/or integrated care settings - Experience working with patients with substance use disorders including prescribing suboxone, naltrexone, acamprosate, and benzodiazepines for detoxification - Experience working in value-based care setting and/or managed care, including how to appropriately assess STARS/HEDIS measures, accurately and appropriately diagnose and code clinical comorbidities, and identify clinical care gaps $115,000 - $155,000 a year The base salary range for this full-time position is $115,000-$155,000 + bonus + equity + benefits. Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Our talent team can share more about the specific salary range for your preferred location during the hiring process. #LI-Remote #LI-JL1

Description ABOUT VISANTE We are relentless in solving the most complex challenges in health system pharmacy—designing pharmacy footprints that meet our clients where they are today and position them to win tomorrow. Our work delivers measurable financial gains, operational excellence, and an elevated patient experience. We set ambitious goals, move with urgency, and create extraordinary value. Obsessed with client impact, we thrive in a collaborative, innovative culture where deep expertise turns insight into action. We’re proud of the results we deliver and the trust we earn—fueling sustained growth and exceptional client satisfaction. Our mission is to transform healthcare through pharmacy, and our vision is to reimagine pharmacy to improve lives. ABOUT THE POSITION (Remote) The Clinical Pharmacist plays a pivotal role in the healthcare team, providing essential pharmacy services that contribute to optimal patient outcomes. Reporting directly to the Specialty Pharmacy Director, this position involves evaluating pharmacotherapy to enhance treatment efficiency, effectiveness, and cost-effectiveness. Key responsibilities include monitoring drug therapy, ensuring compliance with regulatory standards, and delivering patient education to ensure safe and effective medication use. This role blends direct patient care with interdisciplinary collaboration, actively participating in quality improvement initiatives and leadership opportunities. The Clinical Pharmacist is responsible for reviewing and optimizing medication regimens, addressing drug-related issues, and supporting transitions of care. By participating in safety, quality, and cost-savings initiatives, the Clinical Pharmacist contributes to institutional goals, all while maintaining a strong focus on patient-centered care and clinical excellence. Principal Duties and Responsibilities - Oversee therapy management in accordance with organization policies and protocols, identify and address medication errors and adverse reactions - Consistently demonstrate the ability to respond to changing situations in a flexible manner to meet current needs assigned by the Specialty Pharmacy Director or hospital leadership - Complete appropriate documentation promptly, following Client policies and procedures - Contribute to the achievement of Quality Improvement and participates in QI activities - Ensure adherence to established standards, client policies, and Visante procedures. Report and resolve safety issues and incidents promptly - Perform other duties as assigned by the Specialty Pharmacy Director, Visante Leadership team, or designee - Provide appropriate medication therapy and address patient concerns confidentially - Support medication use processes to ensure safety, efficacy, and compliance with guidelines - Identify and resolve potential drug-related issues to optimize patient outcomes - Maintain accurate records of clinical interventions, adverse drug events, and quality improvement activities - Participate in initiatives to enhance medication safety, operational efficiency, and cost-effectiveness - Work with interdisciplinary teams to support effective patient care and program development - Respond to evolving departmental needs and contribute to various projects or initiatives as assigned Requirements Education Required: Bachelor's degree in Pharmacy or Pharm.D. from an ACPE certified school of pharmacy. Preferred: Successful completion of an ASHP accredited PGY1 or specialty residency. Experience Required: None Preferred: 3 years of retail or specialty pharmacy. Licensure/Certification Required: Current Pharmacist license as granted by the appropriate state licensing authority obtained within 2 months of hire date. American Heart Association BLS certification obtained within 6 months of hire date. Preferred: Board of Pharmacy Specialties certification. Skills and Abilities - Strong understanding of pathophysiology and pharmacotherapeutics - Ability to interpret and apply regulatory standards - Demonstration of good judgement, multi-tasking, and meeting deadlines with a sense of urgency and being able to prioritize competing demands - Strong client relationship, interpersonal, and team skills - Excellent presentation skills with the ability to make effective presentations to all levels of management - Proven ability to diagnose and resolve issues, demonstrating strong analytical and creative skills - Ability to make sound, timely decisions based on analysis, experience, and judgement - Clear and concise verbal and written communication skills and the ability to advise clients professionally and positively Compensation and Benefits: We offer competitive salary and benefits for this full-time salaried role. Equal Opportunity Statement: Visante is an equal opportunity employer. Visante’s people are its greatest asset and provide the resources that have made the company what it is today. Visante is, therefore, committed to maintaining an environment free of discrimination, harassment, and violence. This means there can be no deference because of age, religion or creed, gender, gender identity or expression, race, color, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by applicable laws and regulations

• Provide leadership and oversight of psychiatry and therapy service lines across assigned community health center(s) and partnerships. • Accountable for operational execution, clinical program oversight, contract performance, and partner engagement. • Ensure scalable systems that support organizational growth. • Foster high-quality care delivery across assigned site(s). • Collaborate with the Clinical Education & Excellence Department, CMO, and CCO to align training, standards, and program development. • Report to the COO.