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. ...
Medical Director - Spine
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowere...
California Licensed Behavioral Health Director
A company is looking for a Behavioral Health Virtual Medical Director (PsyD, PhD, EdD - CA license required). ...
Medical Director Associate - Oral Health
Medical Director Associate - Oral Health (Utilization Mgmt. Medical Director Associate - Oral Health (UM). Under direction, may be responsible for the administration of medical services for company health plans including medical policies. Elevance Health is a health company dedicated to improving li...
Hawaii Licensed Behavioral Health Medical Director
A company is looking for a Medical Director (Behavioral Health) - Hawaii Licensed, Remote. ...
Corporate Director of Operations - CFV Medical Group (Primary Care)
The primary function of the Corporate Director of Operations – CFV Medical Group is to assist the President – CFV Medical Group in providing direction for developing and managing of Cape Fear Valley Health System’s Primary Care Physician Network, and other service lines as needed. Managing other man...
Medical Director - Medicare Appeals
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
The Carter Center: Associate Director, Global Behavioral Health | Mental Health Programs
The Associate Director (AD) reports to the Director of the Mental Health Program and leads the design, implementation, monitoring, and evaluation of peace-mental health collaborative projects. Graduate degree in public health, mental health discipline or related field. Experience starting, overseein...
Medical Director Case Management
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health ...
Medical Director - (Pain Management SME)
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. We want everyone who works at CVS Health to fee...