3 часа назад
Behavioral Health Medical Director (Psychiatry)
236 500 - 449 300$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →
Похожие вакансии
4 дня назад
Behavioral Health Medical Director
223 800 - 313 100$
4 часа назад
Behavioral Health Medical Director
223 800 - 313 100$
23 часа назад
Behavioral Health Medical Director – Psychiatrist – California Medicaid (Part-Time)
178 135 - 290 438$
7 дней назад
Medical Director - PI, Claims
223 800 - 313 100$
6 дней назад
Medical Director (Outpatient Medicare)
223 800 - 313 100$
2 дня назад
Medical Director (Appeals) (Healthcare)
191 500 - 355 600$