Behavioral Health Medical Director

CarePlus Health Plans Inc

Remote, USA
Base: $223,800 - $313,100 py; bonus/equity: eligib...
Hybrid
Behavioral health strategy
Utilization management
Quality of care goals
The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations, analyzing situations or data requiring in-depth evaluation of variable factors

Job Summary

  • The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations, analyzing situations or data requiring in-depth evaluation of variable factors.
  • The role involves making determinations on service authorization, level of care, and site of service, while ensuring regulatory compliance and understanding Medicare, Medicare Advantage, and/or Medicaid requirements.
  • Candidates can reside anywhere in the continental USA, working EST zone hours, with benefits including medical, dental, vision, 401(k), and paid time off.

Matching Summary

The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations, analyzing situations or data requiring in-depth evaluation of variable factors.

Salary

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

Skills & Requirements

Must-have

  • behavioral health strategy
  • utilization management
  • quality of care goals
  • regulatory compliance
  • Medicare Advantage knowledge
  • Medicaid requirements

Nice-to-have

  • collaborative business relationships
  • value-based care focus
  • population health understanding
  • disease or care management
  • curiosity to learn
  • flexibility to adapt
  • courage to innovate

Key Requirements

  • MD or DO degree
  • 5+ years clinical patient care experience post residency
  • Active Board Certification in Psychiatry and Neurology
  • Current and unrestricted medical license
  • No current sanction from Federal or State Governmental organizations
  • Evidence of analytic and interpretation skills

Work Rights

Not specified

Tailored Resume

Cover Letter