Behavioral Health Medical Director overseeing psychiatric appeals for Elevance Health. Responsible for clinical administration and improving healthcare quality and outcomes.
Responsibilities
Administration of behavioral health medical services
Develop and implement programs to improve quality and outcomes
Conduct peer-to-peer clinical appeal case reviews
Serve as a resource and consultant to other areas of the company
Requirements
MD or DO and Board certification approved by ABMS or AOA
Active unrestricted medical license to practice medicine
Minimum of 10 years of clinical experience
5 years of experience providing health care for Health Solutions and Carelon
Benefits
Health insurance
401(k) matching
Flexible work hours
Paid time off
Remote work
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
Job title
Behavioral Health Medical Director – Psychiatrist, Appeals
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