Medical Director overseeing behavioral health services for Elevance Health with a focus on clinical quality and operational support. Opportunity for remote work with flexible arrangements while ensuring essential face-to-face training.
Responsibilities
Administer behavioral health medical services
Develop and implement programs to improve quality and outcomes
Conduct peer-to-peer clinical appeal case reviews
Provide oversight and guidance to Medical Director Associates
Identify cost of care opportunities
Requirements
MD or DO with Board certification from ABMS or AOA
Active unrestricted medical license to practice medicine
Minimum of 10 years of clinical experience or equivalent
Child and Adolescent experience preferred
Utilization Management experience
Applied Behavior Analysis (ABA) experience
Benefits
Health insurance
401(k) matching
Paid time off
Flexible work arrangements
Professional development opportunities
Employee stock purchase plan
Job title
Behavioral Health Medical Director – Psychiatrist Appeals
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