Behavioral Health Medical Director responsible for behavioral health services for California Medicaid members. Reviewing cases and providing clinical consultation while ensuring quality care outcomes.
Responsibilities
Review cases for California Medicaid members, including child and substance use disorders
Administration of behavioral health medical services
Develop and implement programs to improve quality and outcomes
Provide clinical consultation and serve as strategic advisor for clinical operations
Conduct peer-to-peer clinical reviews and discussions with physicians and providers
Represent the company to external entities and serve on internal/external committees
Interpret medical policies and develop new medical policies based on changes in healthcare
Requirements
MD or DO and Board certification approved by American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA)
Active unrestricted medical license to practice in California
Minimum of 10 years of clinical experience (or equivalent education/experience)
Minimum of 5 years of experience providing health care (for specific organizations)
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