CENTENE CORPORATION: Medicaid Over-Billing?

Posted on December 31, 2022 by Dr. David Edward Marcinko MBA MEd CMP™

By Staff Reporters

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Centene Corporation showers politicians with millions as it courts contracts and settles over-billing allegations by Samantha Young, Andy Miller, and Rebecca Grapevine (Kaiser Health News)

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Somehow KHN made Medicaid over-billing sound sexy.

This deep dive into Centene, “the nation’s largest private managed-care provider for Medicaid,” shows how the company has maintained good relationships with politicians as it looked to keep its market share and settle over-billing allegations.

CITE: https://www.r2library.com/Resource/Title/082610254

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PODCAST: https://medicalexecutivepost.com/2021/11/12/podcast-centene-giant-medicaid-hmo/

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ORDER: https://www.amazon.com/Dictionary-Health-Insurance-Managed-Care/dp/0826149944/ref=sr_1_4?ie=UTF8&s=books&qid=1275315485&sr=1-4

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COMMENTS APPRECIATED

Thank You

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Seeking a Physician Leader of Population Health Management‏

Posted on December 7, 2013 by Dr. David Edward Marcinko MBA MEd CMP™

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Centene Corporation Seeking Medical Director

By Paul Esselman

Dear Dr. Marcinko,

Centene Corporation is seeking a Medical Director to manage its newly formed health plan, Arkansas Health & Wellness Solutions.

Based in Little Rock, Arkansas with its core operational functions handled by NovaSys Health, this plan has been approved to participate as a Qualified Health Plan issuer in the Arkansas Health Insurance Marketplace.

The Medical Director will work with a well-established provider to help build a new business line from inception; partnering with NovaSys senior leadership, s/he will assist in development of a medical management infrastructure to position the organization to expand its membership with the Medicaid patients in the state.

Centene-Corporation

Assessment

I would welcome your thoughts as to whom I may contact regarding this highly visible role.

Kind regards,

Paul Esselman
Cejka Executive Search
4 CityPlace Dr., Ste. 300
St. Louis, MO 63141
314.236.4588 Office
pesselman@cejkasearch.com
http://www.cejkaexecutivesearch.com

Conclusion

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Searching for Chief Medical Director [CMD]

Posted on April 21, 2013 by Dr. David Edward Marcinko MBA MEd CMP™

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Centene Corporation Seeking CMD

By Jennifer Sonneland jsonneland@cejkasearch.com

Cejka Executive Search www.cejkaexecutivesearch.com

Dear Dr. Marcinko,

I am assisting Centene Corporation in their recruitment for a Chief Medical Director for IlliniCare Health Plan, a wholly owned subsidiary and HMO for the state of Illinois.  The regional headquarters for IlliniCare is in Chicago. 

The Chief Medical Director (CMD) will be responsible for directing and coordinating the medical management, quality improvement and credentialing functions for IlliniCare. S/he will serve as a clinical advisor and educator of the medical management staff, ensuring the clinical quality and efficacy of patient care.

jobs

The CMD will also help identify trends in patient treatment data and proactively develop programs to improve patient health and wellness needs.  As an integral part of IlliniCare’s senior leadership team, the CMD will have an active role in supporting the strategic plans and vision of the organization.  

Ideal candidates will have a minimum of five years of progressive experience in healthcare enterprises and demonstrated success in establishing population health management programs and driving quality outcomes and financial performance for the underserved population. Board certification, preferably in geriatrics, and an unrestricted medical license are required. 

A post-graduate business degree (MBA/MMM) is preferred.

Assessment

More details about this opportunity upon request.

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Seeking Chief Medical Director

Posted on September 9, 2010 by Dr. David Edward Marcinko MBA MEd CMP™

Employment Opportunity for CMD

ADVERTISEMENT

By Judy Kliethermes

Centene Corporation is seeking a Chief Medical Director for Managed Health Services, a wholly owned subsidiary and HMO for the state of Wisconsin.  The regional headquarters for Managed Health Services is in Milwaukee.  A Fortune 500 company, Centene Corporation is a national leader in low-cost solutions for high quality health care services for the un-insured and under-insured.

Responsibilities

The Chief Medical Director (CMD) will be responsible for directing and coordinating the medical management, quality improvement and credentialing functions for Managed Health Services. S/he will serve as a clinical advisor and educator of the medical management staff, ensuring the clinical quality and efficacy of patient care. The CMD will identify trends in patient treatment data and proactively develop programs to address improve patient health and wellness needs. 

Assessment

As an integral part of Managed Health Services senior leadership team, the CMD will have an active role in supporting the strategic plans and vision of the organization. 

Conclusion

I would welcome your interest in the Chief Medical Director role.

Sincerely,

Cejka Executive Search
314-236-4429
judyk@cejkasearch.com

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