2 дня назад
Medical Director (Psychiatry)
215 000 - 408 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Medical Director (Psychiatry) (Healthcare): Directing medical management, utilization review, quality improvement, and credentialing activities for a health plan business unit with an accent on complex medical necessity decisions, provider performance, and regulatory compliance. Focus on leading psychiatric medical review, coordinating care for high-risk patients, analyzing utilization trends, and improving the quality and cost-effectiveness of care.
Location: Remote-NY; candidates must hold an active, unrestricted New York MD or DO license and ideally reside in New York or have working ties to the state.
Salary: $215,000–$408,500 per year
Company
provides healthcare services and supports access to effective, quality care for individuals, families, and communities.
What you will do
- Assist the Chief Medical Director in directing medical management, utilization management, quality improvement, and credentialing functions.
- Lead medical reviews involving complex, controversial, experimental, unusual, or new services, including medical necessity and claims reviews.
- Develop and implement quality improvement, cost-containment, utilization management, and provider performance initiatives.
- Coordinate care for high-risk patients through regular rounds and collaboration with care management teams.
- Collaborate with clinical teams, providers, appeals teams, medical and pharmacy consultants, and physician committees.
- Support provider network development, physician education, regulatory committees, and new market expansion.
Requirements
- Medical Doctor or Doctor of Osteopathy degree.
- Board certification in a recognized medical specialty; Psychiatry certification is required.
- Current unrestricted New York MD or DO license with no government-program restrictions, limitations, or sanctions.
- Active medical practice and experience or knowledge in utilization management, quality improvement, or accreditation standards.
- Ability to review complex cases, assess medical necessity, and work with culturally diverse populations.
- Availability to work weekends or holidays when required by business operations.
Culture & Benefits
- Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
- Flexible work arrangements, including remote, hybrid, field, or office schedules.
- Equal opportunity workplace focused on diversity and improving healthcare access.
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