Remote Behavioral Medical Director, Central Region

Responsibilities

• Provide medical leadership for utilization management and medical quality improvement activities
• Conduct medical review for utilization and quality assurance of complex medical services
• Support the implementation of performance improvement initiatives for capitated providers
• Aid in planning and establishing quality and cost-effectiveness goals and policies
• Cook up care quality, team performance, and measurable outcomes within a healthcare environment
• Coordinate care for high-risk patients through regular rounds with care management teams
• Collaborate with clinical teams and providers to review complex cases and appeals

Qualifications

• MD or DO degree required, actively practicing medicine
• Experience in utilization management and understanding of quality accreditation standards is preferred
• Coursework in Health Administration, Health Financing, Insurance, or Personnel Management is advantageous
• Experience with culturally diverse populations preferred
• Board certification by the American Board of Psychiatry and Neurology required; Child Psychiatry certification preferred
• Current state MD or DO license without restrictions or sanctions

Benefits

• Comprehensive health insurance offerings
• 401K and stock purchase plans available
• Tuition reimbursement for continued education
• Generous paid time off plus holidays
• Flexible work arrangements including remote, hybrid, or office options