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

Medical Director, Behavioral Health

Molina Healthcare • Phoenix, AZ, 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 • Phoenix, AZ, United States

    [internal_linking.related_jobs]
    Lead our Team Division Medical Director Opening - BBHH

    Lead our Team Division Medical Director Opening - BBHH

    Banner Health • Scottsdale, AZ, US
    [job_card.permanent]
    DIVISIONAL MEDICAL DIRECTOR for Behavioral Health - BBHH.The Divisional Medical Director (DMD) for Behavioral Health oversees the clinical, customer, and learning performance of medical providers w...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician Leadership Opportunity in Phoenix, AZ- West Valley Associate Market Medical Director

    Physician Leadership Opportunity in Phoenix, AZ- West Valley Associate Market Medical Director

    ArchWell Health • Phoenix, AZ, United States
    [job_card.full_time]
    ArchWell Health is an innovative, rapidly-growing medical group that is changing the way primary care is delivered to seniors. Our state-of-the-art centers are located in communities where there is ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Medical Director

    Senior Medical Director

    USA Jobs • Phoenix, AZ, US
    [job_card.full_time]
    Leads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ensuring members receive the most appropr...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Medical Director Physician

    Medical Director Physician

    SourceMD • Phoenix, AZ, US
    [job_card.full_time]
    The Medical Director aids the Chief Clinical Officer with oversight and coordination of quality comprehensive medical care to a variety of center patients, in an efficient and cost-effective manner...[show_more]
    [last_updated.last_updated_30] • [promoted]
    BCBA Clinical Director

    BCBA Clinical Director

    Action Behavior Centers • Paradise Valley, AZ, US
    [job_card.full_time]
    APPLICATIONS ARE REVIEWED DAILY.YOU CAN EXPECT A RESPONSE WITHIN 24 HOURS.Our Patients : an intentional focus on small caseloads with a compassionate care approach 2. Our Culture : Our Core Values are...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Gastroenterology IBD Director

    Gastroenterology IBD Director

    Community Health at Home • Phoenix, AZ, United States
    [job_card.full_time]
    Job Summary and Responsibilities.Dignity Health Medical Group - Arizonaand the Digestive Disease Instituteis actively seeking a dynamic clinical leader with training in Inflammatory Bowel Diseaseto...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Clinical Director - Residential Services

    Clinical Director - Residential Services

    Scion Staffing • Phoenix, AZ, US
    [job_card.permanent] +1
    Scion Staffing has been engaged to conduct a search for a Clinical Director.The Clinical Director will oversee the delivery of high-quality, trauma-informed behavioral health services across three ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director Physician

    Medical Director Physician

    FCS, Inc. • Phoenix, AZ, USA
    [job_card.full_time]
    Serve as a member of the site leadership team, working collaboratively with the Site Administrator, Clinical Director and Lead Nurse regarding site-based service delivery of clinical care.In this i...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Director (BCBA required) UP TO 10k SIGN-ON BONUS!

    Clinical Director (BCBA required) UP TO 10k SIGN-ON BONUS!

    Bierman Autism Centers • Scottsdale, Arizona, USA
    [job_card.full_time]
    OFFERING SIGN-ON BONUSES UP TO $10000 for Arizona candidates!!!.If you love leading teams inspiring clinicians and watching kids reach milestones that once felt impossible youre going to feel right...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director, Foundation Relations

    Director, Foundation Relations

    National Multiple Sclerosis Society • Phoenix, AZ, United States
    [job_card.full_time]
    The National Multiple Sclerosis Society mobilizes people and resources to drive research for a cure and to address the challenges of everyone affected by MS. To fulfill this mission, the Society fun...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Intake Director

    Intake Director

    Universal Health Services, Inc. • Scottsdale, AZ, United States
    [job_card.full_time]
    Scottsdale and the greater Phoenix region.We opened in February 2022 and now offer a full continuum of inpatient and outpatient services. Our modern 120-bed facility offers offer specialized mental ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director-Behavioral / Psych- (MD or DO)

    Medical Director-Behavioral / Psych- (MD or DO)

    Adecco • Phoenix, AZ, United States
    [job_card.full_time]
    We are seeking several compassionate and experienced Medical Director.This is an excellent opportunity for a passionate physician to help lead and shape the future of an essential community health ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Family Medicine Medical Director Opportunity in Arizona

    Family Medicine Medical Director Opportunity in Arizona

    CompHealth • Phoenix, AZ, United States
    [job_card.permanent]
    Leadership role with 4 days administrative, 1 day clinical schedule.Oversee provider development and care delivery integration model. Must have 5 years of experience including 2 years in leadership....[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director Psychiatrist Position in Phoenix, Arizona

    Medical Director Psychiatrist Position in Phoenix, Arizona

    CHG Healthcare • Phoenix, AZ, US
    [job_card.permanent]
    This position is in Phoenix, AZ, a progressive, innovative city that offers the friendly, caring atmosphere of a small town. The city offers a rich cultural heritage and unique blend of influences f...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Director

    Clinical Director

    Sanctuary Recovery Centers • Phoenix, AZ, USA
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Sanctuary Recovery Centers aspires to outline specific job functions and roles to eliminate ambiguity within the organization. The Clinical Director provides administrative oversight and clinical di...[show_more]
    [last_updated.last_updated_variable_days]
    Field Medical Director, Interventional Cardiology (Remote)

    Field Medical Director, Interventional Cardiology (Remote)

    Evolent • Phoenix, AZ, United States
    [filters.remote]
    [job_card.full_time] +1
    Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director of Nursing

    Director of Nursing

    Axius Technologies Inc. • Phoenix, AZ, United States
    [job_card.full_time]
    Schedule : Flexible- 7 : 00am to 3 : 30pm or 8 : 30am to 4 : 30pm TBD on Administrator and Over Time needed.COVID vaccination or declination of offered vaccine. Level 1 Fingerprint Clearance Card.Hepatitis B...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Healthcare Partnerships & Strategy

    Director of Healthcare Partnerships & Strategy

    Next Move Healthcare • Phoenix, Arizona, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Director of Healthcare Partnerships & Strategy.Director of Healthcare Partnerships & Strategy.This role drives strategy, partnerships, and sales performance while ensuring alignment with high-quali...[show_more]
    [last_updated.last_updated_variable_days]