Associate Medical Director - Health Plan

Texas Children's Hospital

Bellaire, United States
Medical management programs
Behavioral health care standards
Medical necessity reviews
The Associate Medical Director provides guidance to areas within departments of the Texas Children's Health Plan (TCHP); oversees assigned functions of the health plan; provides support, education, and consultation to Texas Children's System staff and physicians, regarding resource utilization, managed care and continuity of care issues

Job Summary

  • The Associate Medical Director provides guidance to areas within departments of the Texas Children's Health Plan (TCHP); oversees assigned functions of the health plan; provides support, education, and consultation to Texas Children's System staff and physicians, regarding resource utilization, managed care and continuity of care issues.
  • Working with the CMOs and Medical Directors, you will oversee and provide recommendations to continuously improve the implementation of medical management programs as outlined in the policy and procedures.
  • Participates in the QM Program of the Health Plan, and the Quality Improvement Committee (QIC), the staff committee entrusted with all aspects of QM for the Health Plan.

Matching Summary

The Associate Medical Director provides guidance to areas within departments of the Texas Children's Health Plan (TCHP); oversees assigned functions of the health plan; provides support, education, and consultation to Texas Children's System staff and physicians, regarding resource utilization, managed care and continuity of care issues.

Skills & Requirements

Must-have

  • medical management programs
  • behavioral health care standards
  • medical necessity reviews
  • regulatory compliance
  • quality improvement committee

Nice-to-have

  • excellent communication skills
  • conflict resolution skills
  • developmentally appropriate care

Key Requirements

  • Doctor of Medicine (M.D.) or Doctorate Doctor of Osteopathic Medicine (D.O.)
  • Medical Doctor License by the Texas Medical Board
  • Board Certified Physician in Psychiatry or Pediatrics or Family Medicine or OB-GYN
  • 5 years healthcare management, managed care experience, and/or behavioral health experience
  • Residency in Psychiatry and Child Psychiatry training

Work Rights

Not specified

Tailored Resume

Cover Letter