Behavioral Health Medical Director

Responsibilities

• Lead medical management for utilization, cost control, and quality improvement
• Conduct medical reviews for utilization and quality assurance, focusing on complex cases
• Drive performance improvement initiatives for capitated providers
• Affirm goals and policies for quality and cost-effective care
• Ensure compliance with regulatory requirements in quality improvement programs
• Engage in clinical rounds with care teams to manage high-risk patients effectively
• Collaborate with various teams in reviewing complex medical necessity cases

Qualifications

• Medical Doctor (MD) or Doctor of Osteopathy (DO) required
• Board certification in a medical specialty, particularly in Psychiatry, is mandatory
• Experience in Utilization Management and familiarity with quality accreditation standards is preferred
• Must be an actively practicing physician
• Additional coursework in Health Administration, Financing, or Management is a plus
• Experience with diverse populations in a clinical setting is advantageous

Benefits

• Comprehensive health insurance package
• 401K and stock purchase plans
• Tuition reimbursement program
• Generous paid time off and holiday policies
• Flexible work arrangements including remote, hybrid, or office options