responsible for behavioral health care strategy and/or operations
involves moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
develop procedures, processes, productivity targets, and new delivery models
maintains efficient operations while ensuring attainment of quality of care and financial goals
provides information for pricing guidelines based on utilization patterns and client demographics
makes decisions on moderately complex to complex issues regarding technical approach for project components, work is performed without direction
actively uses medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized
learns Medicare, Medicare Advantage and/or Medicaid requirements, and understands how to operationalize this knowledge in daily work
may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities

MD or DO degree
5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population
Current and ongoing Board Certification an approved ABMS Medical or ABPN Specialty
A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
Excellent verbal and written communication skills.
Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
short-term and long-term disability
life insurance and many other opportunities

Behavioral Health Medical Director

Key skills