Behavioral Health Medical Director

HumanPanorama

Base: $223,800 - $313,100 py; bonus: eligible for ...
Fully remote
Md or do degree required
5+ years clinical patient care experience
Board certification in abms or abpn specialty
The Behavioral Health Medical Director is responsible for developing care strategy, operational procedures, and new delivery models while ensuring regulatory compliance

Job Summary

  • The Behavioral Health Medical Director is responsible for developing care strategy, operational procedures, and new delivery models while ensuring regulatory compliance.
  • This role involves making complex decisions on service authorization based on clinical judgment, national guidelines, and CMS policies.
  • Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, and a bonus incentive plan based on performance.

Matching Summary

The Behavioral Health Medical Director is responsible for developing care strategy, operational procedures, and new delivery models while ensuring regulatory compliance.

Salary

Base: $223,800 - $313,100 per year; Bonus: Eligible for company/individual performance incentive plan; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance

Skills & Requirements

Must-have

  • MD or DO degree required
  • 5+ years clinical patient care experience
  • Board Certification in ABMS or ABPN specialty
  • Unrestricted medical license in at least one jurisdiction
  • Experience with quality and utilization management teams

Nice-to-have

  • Knowledge of managed care industry products
  • Experience with MCG or InterQual guidelines
  • Advanced degree such as MBA, MHA, or MPH
  • Familiarity with social determinants of health
  • Curiosity to learn and courage to innovate

Key Requirements

  • MD or DO degree
  • Current Board Certification (ABMS/ABPN)
  • Unrestricted medical license
  • No federal or state sanctions
  • 5+ years post-residency clinical experience

Work Rights

Not specified

Tailored Resume

Cover Letter