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3 часа назад

Behavioral Health Medical Director (Psychiatry)

236 500 - 449 300$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
director
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Behavioral Health Medical Director (Psychiatry): Directing medical management, utilization review, credentialing, and quality improvement programs for a behavioral health business unit with an accent on complex medical necessity reviews, cost containment, and regulatory compliance. Focus on leading provider performance initiatives, coordinating high-risk patient care, and evaluating complex appeals and utilization trends.

Location: Remote-CA; California or Oregon medical license required, with a preference for residence in the Pacific Time Zone.

Salary: $236,500–$449,300 per year

Company

hirify.global provides healthcare services focused on improving access, quality, and cost-effectiveness of care.

What you will do

  • Assist the Chief Medical Director in directing medical management, utilization management, credentialing, and quality improvement functions.
  • Lead medical review activities for utilization review, quality assurance, complex cases, experimental services, claims, and medical necessity appeals.
  • Plan and implement initiatives that improve provider performance, care quality, utilization, and cost-effectiveness.
  • Conduct rounds for high-risk patients and coordinate care with clinical and care management teams.
  • Collaborate with providers, clinical teams, appeals staff, medical and pharmacy consultants, and physician committees.
  • Support provider network development, market expansion, physician education, and representation on state or ad hoc committees.

Requirements

  • Board certification in Psychiatry by the American Board of Psychiatry and Neurology is required for behavioral health.
  • Current, unrestricted medical license in California or Oregon is required.
  • Medical Doctor or Doctor of Osteopathy degree.
  • Active medical practice and current state licensure without restrictions, limitations, or government-program sanctions.
  • Utilization management experience and knowledge of quality accreditation standards are preferred.
  • Experience treating or managing care for culturally diverse populations is preferred.

Culture & Benefits

  • Remote, hybrid, field, and office work schedules are supported.
  • Health insurance, 401(k), stock purchase plans, tuition reimbursement, paid time off, and holidays.
  • Work may include weekends and holidays as needed to support business operations.
  • Work focuses on improving healthcare access, quality, and outcomes for individuals, families, and communities.

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