Talent.com
Medical Director, Behavioral Health
Medical Director, Behavioral HealthMolina Healthcare • Athens, GA, US
[error_messages.no_longer_accepting]
Medical Director, Behavioral Health

Medical Director, Behavioral Health

Molina Healthcare • Athens, GA, US
[job_card.1_day_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets / regions. Contributes to overarching strategy to provide quality and cost-effective member care.

\n Essential Job Duties

\n

  • Provides behavioral health oversight and clinical leadership for health plan and / or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs.

\n

  • Facilitates behavioral health-related regional medical necessity reviews and cross coverage.

    • \n

  • Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses.

    • \n

  • Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts.

    • \n

  • Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment.

    • \n

  • Provides second level behavioral health clinical reviews, peer reviews and appeals.

    • \n

  • Supports behavioral health committees for quality compliance.

    • \n

  • Implements behavioral health specific clinical practice guidelines and medical necessity review criteria.

    • \n

  • Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS).

    • \n

  • Assists with the recruitment and orientation of new psychiatric medical directors.

    • \n

  • Ensures all behavioral health programs and policies are in line with industry standards and best practices.

    • \n

  • Assists with new program implementation and supports for health plan in-source behavioral health services.

    • \n Required Qualifications

    \n

  • At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry / behavioral health, or equivalent combination of relevant education and experience.

    • \n

  • Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice.

    • \n

  • Board Certification in Psychiatry.

    • \n

  • Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.

    • \n

  • Ability to work cross-collaboratively within a highly matrixed organization.

    • \n

  • Strong organizational and time-management skills.

    • \n

  • Ability to multi-task and meet deadlines.

    • \n

  • Attention to detail.

    • \n

  • Critical-thinking and active listening skills.

    • \n

  • Decision-making and problem-solving skills.

    • \n

  • Strong verbal and written communication skills.

    • \n

  • Microsoft Office suite / applicable software program(s) proficiency, and ability to learn new programs.

    • \n Preferred Qualifications

    \n

  • Experience with utilization / quality program management.

    • \n

  • Managed care experience.

    • \n

  • Peer review experience.

    • \n

  • Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.

    • \n

    #PJHS

    \n

    #LI-AC1

    \n

    #HTF

    \n To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

    \n Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V

    Pay Range : $161,914.25 - $315,733 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
    • [job_alerts.create_a_job]

    Director Behavioral Health • Athens, GA, US

    [internal_linking.related_jobs]
    Pediatric Hospitalist - Practice Medical Director

    Pediatric Hospitalist - Practice Medical Director

    Pediatrix Medical Group • Athens, US
    [job_card.full_time]
    Specialty : Physician Leadership.HR Rep / Recruiter : Ashley Coggin.Step into leadership and make a lasting impact—shape the future of pediatric care in a collaborative, high-quality community ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Medical Laboratories

    Director, Medical Laboratories

    UVA Health • Athens, GA, United States
    [job_card.full_time]
    RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Community Director

    Community Director

    Gallery Residential • Madison, GA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Community Director Department : Property Management Reports To : Regional Director FLSA Status : Exempt Position Summary : The Community Director is responsible for maintaining ...[show_more]
    [last_updated.last_updated_variable_days]
    Trauma Medical Director Needed in Georgia

    Trauma Medical Director Needed in Georgia

    CompHealth • Athens, GA, United States
    [job_card.permanent]
    Sign-on bonus and relocation assistance.Fellowship in SCC is ideal, but it's not required.Must be board certified or board eligible.[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Post-Doctoral Associate - Woodson

    Post-Doctoral Associate - Woodson

    University of Georgia • Athens, GA, United States
    [job_card.full_time]
    Post-Doctoral Associate - Woodson.ENGR-Resilient Infrast Systems.About the University of Georgia.Since our founding in 1785, the University of Georgia has operated as Georgia's oldest, most compreh...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Active Pulmonary Disease Officer

    Active Pulmonary Disease Officer

    United States Army • Homer, GA, United States
    [job_card.full_time]
    THE ARMY HEALTH CARE ADVANTAGE As a member of the Army health care team, you’ll receive benefits that you won’t be able to get in a civilian career. Challenging Work Feel inspired with great case di...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Family Medicine

    Family Medicine

    Enterprise Medical Recruiting • Athens, Georgia, US
    [job_card.full_time]
    Family Medicine physician job in Georgia : .Family Medicine opportunity is available with an FQHC in Athens, Georgia with 20+ physicians and several advanced practice providers.Group has 400 employe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physical Therapist Clinic Director

    Physical Therapist Clinic Director

    Benchmark Physical Therapy • Madison, GA, United States
    [job_card.full_time]
    Lead a team of amazing Physical Therapists as the Clinic Director at BenchMark in Madison, GA.Physical Therapist Clinic Director Opportunity!. BenchMark Physical Therapy is hiring for a Physical The...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Physician (MD / DO) - Family Practice in Athens, GA

    Locum Physician (MD / DO) - Family Practice in Athens, GA

    LocumJobsOnline • Athens, GA, US
    [job_card.full_time] +1
    LocumJobsOnline is working with All Medical Personnel to find a qualified Family Practice MD in Athens, Georgia, 30606!.Family Practice Physician | Internal Medicine Physician |.Pediatrician | Gene...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Neonatologist - Medical Director

    Neonatologist - Medical Director

    Pediatrix • Athens, GA, US
    [job_card.permanent]
    Lead a Respected Neonatology Team at a Nationally Recognized Hospital!.Piedmont Athens Regional Medical Center Athens, Georgia. A 427-bed regional referral center serving a 17-county area in northea...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapist (PT) - $1,641 to $1,819 per week in Madison, GA

    Travel Physical Therapist (PT) - $1,641 to $1,819 per week in Madison, GA

    AlliedTravelNetwork • Madison, GA, US
    [job_card.full_time]
    AlliedTravelNetwork is working with LRS Healthcare to find a qualified Physical Therapist (PT) in Madison, Georgia, 30650!. Ready to start your next travel adventure? LRS Healthcare offers a full be...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Osteopathic Neuromusculoskeletal Medicine with OhioHealth – Athens, OH

    Osteopathic Neuromusculoskeletal Medicine with OhioHealth – Athens, OH

    OhioHealth • Athens, US
    [job_card.full_time]
    Join an award winning, physician-led health system that prides itself on an inclusive, collegial, and innovative culture. Osteopathic Neuromusculoskeletal Medicine Physician.Join a thriving OMM prac...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Hospitalist Physician

    Hospitalist Physician

    Medrina • Athens, GA, USA
    [job_card.full_time]
    Hospitalist Physician at Medrina summary : .The Hospitalist Physician position involves leading a skilled nursing facility, with a focus on patient care and organizational improvement.The role offers...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Trauma Surgeon / Medical Director | $625K | Georgia

    Trauma Surgeon / Medical Director | $625K | Georgia

    The Medicus Firm • Athens, GA, US
    [job_card.permanent]
    Trauma Surgeon / Trauma Medical Director.Surgeon is back up, at night, one of the daytime surgeons alternates.Work in teams of 2 during the day and also have 2 APP that work alongside you.Base Salary...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physical Therapist Clinic Director

    Physical Therapist Clinic Director

    Upstream Rehabilitation • Madison, GA, United States
    [job_card.full_time]
    Lead a team of amazing Physical Therapists as the Clinic Director at BenchMark in Madison, GA.Physical Therapist Clinic Director Opportunity!. BenchMark Physical Therapy is hiring for a Physical The...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Travel Physical Therapist (PT) - $1,641 to $1,819 per week in Madison, GA

    Travel Physical Therapist (PT) - $1,641 to $1,819 per week in Madison, GA

    LRS Healthcare • Madison, GA, US
    [job_card.full_time]
    Ready to start your next travel adventure? LRS Healthcare offers a full benefits package, 24 / 7 support, and a responsive, traveler-first culture. What are you waiting for? Apply today!.Valid license...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Family Medicine

    Family Medicine

    The Inline Group • Athens, Georgia, US
    [job_card.full_time]
    Family Medicine physician employment in Georgia : The Inline Group -.Hours : Monday - Thursday 8 am - 5 pm, Tuesdays until 7 pm, Friday 8 am - 2 pm. Dedicated Admin time Wed 1 pm - 5 pm.Average Patie...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Neonatologist - Medical Director

    Neonatologist - Medical Director

    HealthEcareers - Client • Athens, GA, USA
    [job_card.full_time]
    Lead a Respected Neonatology Team at a Nationally Recognized Hospital!.Piedmont Athens Regional Medical Center - Athens, Georgia. A 427-bed regional referral center serving a 17-county area in north...[show_more]
    [last_updated.last_updated_30] • [promoted]