Talent.com
Medical Director, Behavioral Health
Medical Director, Behavioral HealthMolina Healthcare • Yonkers, New York, United States
[error_messages.no_longer_accepting]
Medical Director, Behavioral Health

Medical Director, Behavioral Health

Molina Healthcare • Yonkers, New York, 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 • Yonkers, New York, United States

    [internal_linking.similar_jobs]
    Behavioral Medical Director - Remote

    Behavioral Medical Director - Remote

    UnitedHealth Group • New York, NY, United States
    [filters.remote]
    [job_card.full_time]
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director, Integrated Outpatient Service (IOS) – Physician - Mount Sinai Behavioral Health Center (MSBHC) – Manhattan, NY

    Medical Director, Integrated Outpatient Service (IOS) – Physician - Mount Sinai Behavioral Health Center (MSBHC) – Manhattan, NY

    Mount Sinai Health System • Manhattan, US
    [job_card.full_time]
    The Mount Sinai Health System is seeking a dynamic leader to join our team in a new transformational, community-oriented center for behavioral health with integrated services for mental health, sub...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Remote Medical Director

    Remote Medical Director

    HealthCare Support • Manhattan, NY, US
    [filters.remote]
    [job_card.full_time] +1
    Monday–Friday schedule, professional collaboration, and the chance to make a meaningful impact by supporting quality behavioral health care across diverse patient populations.Serve as a key clinica...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Associate Medical Director of Pediatrics

    Associate Medical Director of Pediatrics

    Tandym Group • New York, NY, US
    [job_card.full_time]
    A reputable community health center is looking for an Associate Medical Director of Pediatrics to join their dedicated team in the Bronx. Setting : 70% outpatient clinical care and 30% administrative...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director

    Medical Director

    Acacia Network • New York, NY, US
    [job_card.full_time]
    Are you ready to give back to the community while pursuing your passion? For over 50 years, Acacia Network and its affiliates have been committed to improving the quality-of-life and wellbeing of u...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director

    Medical Director

    TAG MedStaffing • New York, NY, US
    [job_card.part_time]
    Part-Time Medical Director – Psychiatrist.Part-time, 5–10 hours / week, Monday–Friday 9 : 00 am–5 : 00 pm.This role includes supervising providers, developing clinical policies, i...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director, Integrated Outpatient Service (IOS) – Physician - Mount Sinai Behavioral Health Center (MSBHC) – Manhattan, NY

    Medical Director, Integrated Outpatient Service (IOS) – Physician - Mount Sinai Behavioral Health Center (MSBHC) – Manhattan, NY

    HealthEcareers - Client • Manhattan, NY, USA
    [job_card.full_time]
    The Mount Sinai Health System is seeking a dynamic leader to join our team in a new transformational, community-oriented center for behavioral health with integrated services for mental health, sub...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Northwell Health is seeking a Clinical Director of Hepatologsy at Lenox Hill Hospital – NY, NY

    Northwell Health is seeking a Clinical Director of Hepatologsy at Lenox Hill Hospital – NY, NY

    Northwell Health Physician Partners • Manhattan, US
    [job_card.full_time]
    Northwell Center for Liver Disease and Transplantation.Northwell Health are actively seeking a.Director of Hepatology at Lenox Hill Hospital. The successful candidate will ideally possess the follow...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director (Brooklyn)

    Medical Director (Brooklyn)

    Morris Heights Health Center • Brooklyn, NY, US
    [job_card.part_time]
    Morris Heights Health Center (MHHC) is one of New Yorks premier Federally Qualified Health Centers, serving nearly 50,000 patients annually across the Bronx and Brooklyn. For over 40 years, we have ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Regional Medical Director

    Regional Medical Director

    Physician Affiliate Group of New York • New York, NY, US
    [job_card.full_time]
    Physician Affiliate Group of New York (.Regional Medical Directors to lead the.Opportunities available in Brooklyn of New York City. NYC Health + Hospitals / Gotham Health.We provide the full spectrum...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director

    Medical Director

    Good Shepherd Services • New York, NY, US
    [job_card.part_time]
    Chief Program Officer Youth and Family-Well Being.East 17th Street, New York, NY 10003.Individual provides guidance for all medical staff, implements best practice and guides the overall organizati...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Behavioral Medical Director East Region - Remote

    Behavioral Medical Director East Region - Remote

    UnitedHealth Group • New York, NY, United States
    [filters.remote]
    [job_card.full_time]
    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives.The work you do with our team will directly improve health outcomes by connect...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Visionary Medical Director, Psychiatry

    Visionary Medical Director, Psychiatry

    AMN Healthcare • City of Yonkers, NY, United States
    [job_card.full_time]
    A leading healthcare provider in New York is seeking a Medical Director of Psychiatry to lead their integrated behavioral health program. This role involves overseeing clinical and strategic operati...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Director, Strategic Initiatives

    Director, Strategic Initiatives

    Talkiatry • New York, NY, US
    [job_card.full_time]
    Talkiatry is seeking a strategic, data-driven builder to lead some of our most important growth initiatives across the Mindshare Referrals program. Director of Strategic Initiatives.Talkiatry to par...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Regional Medical Director - MD / DO

    Senior Regional Medical Director - MD / DO

    United Vein & Vascular Centers • New York, NY, United States
    [job_card.full_time]
    Senior Regional Medical Director (SRMD).Medical Staff within their region across all services lines.The SRMD will lead a team of Medical Directors, physicians, and advanced practice providers, impl...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director-General Otolaryngology

    Medical Director-General Otolaryngology

    Westchester Medical Center Advanced Physician Services • Suffern, US
    [job_card.full_time]
    The Department of Otolaryngology at Bon Secours Charity Health System, a member ofThe Westchester Medical Center Health Network (WMCHealth) is seeking a board certified or board eligible Otolaryngo...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Associate Medical Director Hospitalist

    Associate Medical Director Hospitalist

    Valley Health • Paramus, US
    [job_card.full_time]
    The Patient Safety Officer (PSO) and Associate Medical Director for the Hospitalist Services serves as a physician champion dedicated to advancing a culture of safety, reliability and continuous im...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director of Behavioral Health

    Director of Behavioral Health

    Greenlife Healthcare Staffing • New York, NY, US
    [job_card.full_time]
    Director of Behavioral Health - Queens, NY (#3300).Hourly Rate : $145,000 - $160,000 annually.About Greenlife Healthcare Staffing. We partner with hospitals, clinics, nursing homes, multi-specialty g...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]