A company is looking for a Behavioral Health Medical Director - Medicaid.Key ResponsibilitiesMake determinations on service authorizations based on clinical evaluations and regulatory complianceConduct reviews of clinical scenarios and communicate decisions to internal associatesEngage with external physicians to gather information and resolve conflicts as neededRequired QualificationsDoctor of Medicine or Doctor of OsteopathyBoard certified in Psychiatry and in an ABMS or ABPN recognized specialtyA current and unrestricted medical license in at least one jurisdictionAt least five years of post-training clinical experienceExperience in utilization management review and case management in a health plan setting
Behavioral Health Medical Director - Multiple States
A company is looking for a Behavioral Health Medical Director - Medicaid. ...
Director - California Behavioral Health Investigations, Surveys
The Director will oversee the CA Behavioral Health Investigations and CA Medical Survey contracts. Description & Requirements Maximus is currently hiring for a Director - California Behavioral Health Investigations to join our State West team. Report to Senior Director or VP level. Quality Assu...
Kentucky Licensed Behavioral Health Director
A company is looking for a Behavioral Health Director for the SKY program to lead a team of licensed therapists supporting youth in Kentucky's child welfare and juvenile justice systems. ...
Medical Director - Medical Affairs (Oncology)
CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health, a Fortune 4...
Hawaii Licensed Behavioral Health Medical Director
A company is looking for a Medical Director (Behavioral Health) - Hawaii Licensed, Remote. ...
Part-time/Remote Medical Director - Community-Based Care (Palliative Care)
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
Medical Director - West
In the Medical Director role you will provide oversight for medical policy implementation. You'll participate in the development, implementation, and evaluation of clinical/medical programs and expand Aetna's medical management programs to address member needs across the continuum of care You will s...
Medical Director, Utilization Management
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within esta...
Primary Care Behavioral Health Consultant
The Integrated Behavioral Health Consultant (IBHC) is responsible for the diagnosis, treatment, and maintenance of a diverse behavioral health and medical population, utilizing the primary care behavioral health model of care through close collaboration with primary care providers and other team mem...
Medical Director (South Central Market)
In the Medical Director role you will provide oversight for medical policy implementation. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. Every one of us at...