Behavioral Health Medical Director

CarePlus Health Plans Inc

Base: $223,800 - $313,100 py; bonus: eligible for ...
Fully remote
Md or do degree required
5+ years direct clinical patient care experience
Current board certification in abms or abpn specialty
CarePlus Health Plans Inc. is seeking a Behavioral Health Medical Director to lead their behavioral health care strategy and operations. This fully remote position requires a medical professional with significant clinical experience to oversee quality of care, ensure regulatory compliance, and engage with external stakeholders

Job Summary

  • The Behavioral Health Medical Director is responsible for developing care strategy, operations, and new delivery models while ensuring quality of care and financial goals.
  • This role requires making complex decisions on service authorization using medical judgment within a context of regulatory compliance including CMS policies.
  • Humana offers competitive benefits including medical, dental, vision, 401(k) retirement savings, and paid time off to support whole-person well-being.

Matching Summary

Match Score: 85

CarePlus Health Plans Inc. is seeking a Behavioral Health Medical Director to lead their behavioral health care strategy and operations. This fully remote position requires a medical professional with significant clinical experience to oversee quality of care, ensure regulatory compliance, and engage with external stakeholders.

Salary

Base: $223,800 - $313,100 per year; Bonus: Eligible for incentive plan based on performance; Benefits: Medical, dental, vision, 401(k), paid time off

Skills & Requirements

Must-have

  • MD or DO degree required
  • 5+ years direct clinical patient care experience
  • Current Board Certification in ABMS or ABPN specialty
  • Unrestricted medical license in at least one jurisdiction
  • Experience with Medicare Advantage or Medicaid populations

Nice-to-have

  • Knowledge of managed care industry products
  • Experience with MCG or InterQual guidelines
  • Advanced degree such as MBA, MHA, or MPH
  • Exposure to population health analytics
  • Curiosity to learn and flexibility to adapt

Key Requirements

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

Work Rights

Not specified

Tailored Resume

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