Medical Director, Behavioral Health – Medicaid

Medical DirectorMedical DirectorFull TimeRemoteLeadTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

Louisiana

Posted

1 day ago

Salary

$223.8K - $313.1K / year

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

Medical Director, Behavioral Health – Medicaid

Humana

• Responsible for behavioral health care strategies and/or operations • Make determinations regarding requested services and levels of care • Learn and operationalize Medicaid requirements in daily work • Conduct computer-based review of clinical scenarios and records • Communicate decisions to internal associates • Discuss determinations with external physicians and stakeholders • Support Humana values and collaborate on team activities • May require coverage for vacations, weekends, and holidays

Job Requirements

  • Doctor of Medicine or Doctor of Osteopathy
  • Board-certified in an ABMS recognized specialty of Psychiatry
  • A current and unrestricted license in at least one jurisdiction
  • Willing to obtain additional license, if required
  • At least five years of experience post-training providing clinical services
  • Experience in utilization management review and case management in a health plan setting
  • No current sanction from Federal or State Governmental organizations
  • Able to pass credentialing requirements

Benefits

  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off, company and personal holidays
  • Volunteer time off
  • Paid parental and caregiver leave
  • Short-term and long-term disability
  • Life insurance
  • Many other opportunities

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