Remote Behavioral Medical Director

Overview

The Remote Behavioral Medical Director will play a crucial role in managing medical quality improvement and utilization management for a diverse organization, providing leadership and expertise in clinical care.

In Short

• Assist Chief Medical Director in directing medical management functions.
• Provide medical leadership for utilization management and quality improvement.
• Conduct medical reviews for complex cases.
• Support performance improvement initiatives.
• Collaborate with clinical teams and providers.
• Participate in provider network development.
• Review claims for medical necessity.
• Develop alliances with the provider community.
• Represent the business unit in various committees.
• May work weekends and holidays as needed.

Requirements

• Medical Doctor or Doctor of Osteopathy degree.
• Experience in Utilization Management.
• Knowledge of quality accreditation standards.
• Active medical practice.
• Experience with culturally diverse populations preferred.
• Board certification by the American Board of Psychiatry and Neurology.
• Current state medical license without restrictions.

Benefits

• Competitive pay and health insurance.
• 401K and stock purchase plans.
• Tuition reimbursement.
• Paid time off plus holidays.
• Flexible work schedules (remote, hybrid, field, or office).