Talent.com
Medical Director, Behavioral Health
Medical Director, Behavioral HealthMolina Healthcare • Dallas, Texas, United States
[error_messages.no_longer_accepting]
Medical Director, Behavioral Health

Medical Director, Behavioral Health

Molina Healthcare • Dallas, Texas, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets / regions. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

  • Provides behavioral health oversight and clinical leadership for health plan and / or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs.
  • Facilitates behavioral health-related regional medical necessity reviews and cross coverage.
  • Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses.
  • Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts.
  • Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment.
  • Provides second level behavioral health clinical reviews, peer reviews and appeals.
  • Supports behavioral health committees for quality compliance.
  • Implements behavioral health specific clinical practice guidelines and medical necessity review criteria.
  • Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS).
  • Assists with the recruitment and orientation of new psychiatric medical directors.
  • Ensures all behavioral health programs and policies are in line with industry standards and best practices.
  • Assists with new program implementation and supports for health plan in-source behavioral health services.

Required Qualifications

  • At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry / behavioral health, or equivalent combination of relevant education and experience.
  • Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice.
  • Board Certification in Psychiatry.
  • Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff.
  • Ability to work cross-collaboratively within a highly matrixed organization.
  • Strong organizational and time-management skills.
  • Ability to multi-task and meet deadlines.
  • Attention to detail.
  • Critical-thinking and active listening skills.
  • Decision-making and problem-solving skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite / applicable software program(s) proficiency, and ability to learn new programs.

    • Preferred Qualifications

  • Experience with utilization / quality program management.
  • Managed care experience.
  • Peer review experience.
  • Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification.

    • #PJHS

    #LI-AC1

    #HTF

    To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V

    Pay Range : $161,914.25 - $315,733 / ANNUAL

  • Actual compensation may vary from posting based on geographic location, work experience, education and / or skill level.
    • [job_alerts.create_a_job]

    Director Behavioral Health • Dallas, Texas, United States

    [internal_linking.related_jobs]
    Clinical Program Director, Med-Psych Management Program

    Clinical Program Director, Med-Psych Management Program

    Mindoula • Dallas, TX, US
    [job_card.full_time]
    Mindoula is a next generation population health management company that identifies, engages, and serves populations with complex behavioral health, medical, and social challenges across the continu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Director

    Clinical Director

    FCS, Inc • Dallas, TX, US
    [job_card.full_time]
    Providing comprehensive, evidence-based mental health services to individuals and families across the Dallas metro area.Our multidisciplinary team of Psychologist, therapist, and psychiatrist is co...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physician / Director / Texas / Permanent / Medical Director - Bioterrorism Job

    Physician / Director / Texas / Permanent / Medical Director - Bioterrorism Job

    Dallas County • Dallas, TX, US
    [job_card.full_time]
    Provides infectious and communicable disease medical support, assistance and advisory responsibilities in conjunction with other health staff to actively maintain disease surveillance.Collaborates ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum-to-Perm Associate Medical Director (OB / GYN)

    Locum-to-Perm Associate Medical Director (OB / GYN)

    IPL Health Staffing • Dallas, TX, US
    [job_card.permanent]
    Parkland Community Health Plan (PCHP).Associate Medical Director role.This is a unique opportunity to step directly into a mission-driven leadership position within one of the nation's largest publ...[show_more]
    [last_updated.last_updated_less] • [promoted] • [new]
    Director of Neurology

    Director of Neurology

    Aya Healthcare • Dallas, TX, US
    [job_card.full_time]
    With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we st...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director Physician

    Medical Director Physician

    Lancesoft INC • Dallas, Texas, United States
    [job_card.permanent]
    Locum-to-Perm Associate Medical Director (OB / GYN).We are seeking a highly skilled.Associate Medical Director OB / GYN.[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Urgent Care Medical Director

    Urgent Care Medical Director

    Nahse • Dallas, TX, United States
    [job_card.full_time]
    Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities.Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physician / Medical Director / Texas / Permanent / Psychiatric Medical Director Job

    Physician / Medical Director / Texas / Permanent / Psychiatric Medical Director Job

    Topps Recruiting • Dallas, TX, US
    [job_card.full_time]
    Psychiatrist / Medical Director Needed for a Residential and OP Addiction Treatment Facility North of Dallas.Multi-disciplinary team that consist of master level therapist, addiction trained physicia...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Inpatient Medical Director of Psychiatry Opportunity in Coastal Community

    Inpatient Medical Director of Psychiatry Opportunity in Coastal Community

    AMN Healthcare • plano, tx, us
    [job_card.full_time]
    Job Description & Requirements.Inpatient Medical Director of Psychiatry Opportunity in Coastal Community.StartDate : ASAP Pay Rate : $325000. Our established mental health organization is looking for ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Pulmonary Hypertension Medical Director

    Pulmonary Hypertension Medical Director

    Coloradoacc • Dallas, TX, United States
    [job_card.full_time]
    The Division of Pulmonary, Critical Care and Sleep Medicine (PCCSM) at Baylor University Medical Center-Dallas (BUMC) and The Center for Advanced Heart and Lung Diseases are seeking a Pulmonary Hyp...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Hyperbaric Director

    Hyperbaric Director

    Healogics • Highland Park, TX, United States
    [job_card.full_time]
    The rewards at Healogics are immense, starting with the important work we do to change patients' lives.We also understand that meaningful work is hard work, and we are committed to supporting and c...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Medical Director, Behavioral Health (WA)

    Medical Director, Behavioral Health (WA)

    Molina Healthcare • Dallas, TX, United States
    [job_card.full_time]
    JOB DESCRIPTION Provides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Pulmonary Hypertension Medical Director

    Pulmonary Hypertension Medical Director

    Heart Rhythm Society • Dallas, TX, United States
    [job_card.full_time]
    The Division of Pulmonary, Critical Care and Sleep Medicine (PCCSM) at Baylor University Medical Center-Dallas (BUMC) and The Center for Advanced Heart and Lung Diseases are seeking a Pulmonary Hyp...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director Physician

    Medical Director Physician

    HCA Healthcare • Dallas, TX, USA
    [job_card.full_time]
    Medical Director Physician at HCA Healthcare summary : .The Medical Director Physician specializes in adult congenital heart disease, leading a growing program at Medical City Healthcare in Dallas, T...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director - Tyler, Texas Metro Area

    Medical Director - Tyler, Texas Metro Area

    Gpac • Dallas, Texas, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Metropolitan Area of Tyler, Texas.It boasts an impressive six-figure salary plus production, significant relocation assistance, and a fantastic equity bonus package valued at $400K for each Veterin...[show_more]
    [last_updated.last_updated_30]
    Medical Director

    Medical Director

    Valor Healthcare • Dallas, Texas, US
    [job_card.full_time]
    Medical Director physician job in Texas : .Medical Director, Physician - Occupational Health - Relocation.Valor Healthcare is seeking a Site Medical Director to join our growing team! In exchange fo...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Medical Laboratories

    Director, Medical Laboratories

    UVA Health • Dallas, TX, US
    [job_card.full_time]
    RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Pulmonary Hypertension Medical Director

    Pulmonary Hypertension Medical Director

    Ohioacc • Dallas, TX, United States
    [job_card.full_time]
    The Division of Pulmonary, Critical Care and Sleep Medicine (PCCSM) at Baylor University Medical Center-Dallas (BUMC) and The Center for Advanced Heart and Lung Diseases are seeking a Pulmonary Hyp...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]