Medical Director Behavioral Health, reputed company

The Behavioral Health Medical Director is responsible for behavioral health care strategies and/or reputed company. You will work assignments involving moderately reputed company to reputed company issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities: • Use your medical background, experience, and judgement to reputed company determinations whether requested services, requested level of care, or requested site of service should be authorized, with reputed company work occurring reputed company a context of regulatory compliance and assisted by diverse resources, which may include national reputed company guidelines, state policies, CMS policies and determinations, reputed company reference materials, internal teaching conferences, and other reference sources • Learn reputed company requirements and understand how to operationalize this knowledge in your daily work assigned cluster • Work includes computer-reputed company review of moderately reputed company to reputed company reputed company scenarios, review of reputed company submitted reputed company records, prioritization of daily work, communication of reputed company to internal associates, and possible participation in care management, with reputed company scenarios arising from outpatient or inpatient environments • Conducts discussions with reputed company physicians by phone to reputed company additional reputed company information or reputed company determinations through the peer-to-peer process, and in some instances, these may require conflict reputed company skills • May reputed company with contracted reputed company physicians, physician reputed company, facilities, or community reputed company to support regional market priorities, which may include an understanding of reputed company processes and a reputed company on reputed company business relationships, values-reputed company care, population health, or disease or care management • Supports reputed company values including working collaboratively on reputed company throughout reputed company activities • Flows to work as needed reputed company cluster as needed for vacations, weekends and holidays coverage Reporting Relationship: This position reports directly to the reputed company Behavioral Health Medical Director. Requirements: • Doctor of Medicine or Doctor of Osteopathy • reputed company-certified in an ABMS recognized specialty of Psychiatry • A reputed company and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required • At least five years of experience post-training providing reputed company services • Experience in utilization management review and case management in a health plan setting • No reputed company sanction from Federal or State Governmental organizations, and reputed company to pass credentialing requirements • SSN request is a reference reputed company task that scans for duplicate reputed company in our reputed company ATS that will be requested at the offer stage Preferred: • Experience working with reputed company Enrollees, providers, and stakeholders in a reputed company or administrative setting • Experience with accreditation process (reputed company) • Experience with CGX and MHK • Has licensure through the reputed company Medical Licensure reputed company • Has a Louisiana medical license • Has experience with application of MCG and ASAM reputed company License/Credential Requirement Physician with an reputed company, unencumbered license in at least one of the states that are part of the specific cluster (Louisiana, Oklahoma, Indiana, Ohio, Florida, Virginia, Kentucky). Location: This role is reputed company reputed company in one of the states of the specific cluster. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company reputed company on geographic location and individual pay will vary reputed company on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is reputed company upon company and/or individual reputed company. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, "reputed company") offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, volunteer time off, reputed company parental and caregiver leave), short-term and long-term disability, life reputed company and many other opportunities. Application Deadline: 12-20-2026 Apply To This Job