Contract Behavioral Health Utilization Management Medical Director (Psychiatry) - Remote

Overview

Guidehealth is seeking a Behavioral Health Utilization Management Medical Director (Psychiatry) to serve as a part-time, 1099 consultant supporting utilization management activities for a commercial health plan.

In Short

• Part-time, flexible consulting role for a psychiatrist.
• Perform physician-level utilization management reviews.
• Ensure medical necessity determinations are compliant and timely.
• Conduct peer-to-peer consultations with behavioral health providers.
• Support regulatory compliance and parity analyses.
• Assist in maintaining NCQA accreditation standards.
• Provide clinical input on utilization management practices.
• Document and communicate clinical rationales for decisions.
• Work from home with flexible hours.
• Independent contractor engagement with no guaranteed hours.

Requirements

• MD or DO with board certification in Psychiatry.
• Active Illinois medical license.
• Minimum 3 years of post-residency psychiatric practice.
• Experience in utilization management or managed care.
• Strong communication and clinical documentation skills.

Benefits

• Fully remote work environment.
• Comprehensive Medical, Dental, and Vision plans.
• 401(k) plan with employer match.
• Life and Disability insurance.
• Paid time off for work-life balance.
• Paid parental leave.
• Opportunities for professional growth and development.