Medical Director - Bh/mh

HumanPanorama

Remote
$223,800 - $313,100 py; bonus incentive plan avail...
Remote
Behavioral health care strategies
Regulatory compliance
Medicaid requirements
Humana is seeking a remote Behavioral Health Medical Director to oversee behavioral health care strategies and operations. The ideal candidate will be a board-certified psychiatrist with substantial experience in clinical services and health plan utilization management

Job Summary

  • The Behavioral Health Medical Director is responsible for behavioral health care strategies and/or operations, working on moderately complex to complex issues.
  • Responsibilities include computer-based review of clinical scenarios, communication of decisions, and conducting discussions with external physicians.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental, vision, 401(k), and time off.

Matching Summary

Match Score: 85

Humana is seeking a remote Behavioral Health Medical Director to oversee behavioral health care strategies and operations. The ideal candidate will be a board-certified psychiatrist with substantial experience in clinical services and health plan utilization management.

Salary

$223,800 - $313,100 per year; Bonus incentive plan available; Medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • Behavioral health care strategies
  • Regulatory compliance
  • Medicaid requirements
  • Clinical scenarios review
  • Peer-to-peer discussions
  • Collaborative team work

Nice-to-have

  • Values-based care
  • Population health
  • Disease management
  • Care management

Key Requirements

  • Doctor of Medicine or Doctor of Osteopathy
  • Board-certified in Psychiatry
  • Current and unrestricted medical license
  • At least five years of post-training clinical experience
  • Experience in utilization management review
  • Experience in case management in a health plan setting
  • No current sanction from Federal or State Governmental organizations

Work Rights

Not specified

Tailored Resume

Cover Letter