Talent.com
Medical Director, Behavioral Health (WA)
Medical Director, Behavioral Health (WA)Molina Healthcare • Dallas, TX, United States
Medical Director, Behavioral Health (WA)

Medical Director, Behavioral Health (WA)

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

Overview

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 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 Professionals certifications : CPHM, CPHQ, CCMC, CMSA or other health care or management certification.

    • 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.

    • #J-18808-Ljbffr

    [job_alerts.create_a_job]

    Director Behavioral Health • Dallas, TX, United States

    [internal_linking.related_jobs]
    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]
    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

    Baylor Scott & White Health • Dallas, TX, US
    [job_card.permanent]
    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_30] • [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]
    Senior Medical Director

    Senior Medical Director

    USA Jobs • Dallas, TX, 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]
    Physician / Family Practice / Texas / Permanent / Associate Medical Director needed in Dallas, TX Jo

    Physician / Family Practice / Texas / Permanent / Associate Medical Director needed in Dallas, TX Jo

    CenterWell Senior Primary Care • Dallas, TX, US
    [job_card.full_time]
    CenterWell Senior Primary Care, a subsidiary of Humana Inc.Florida, Georgia, Kansas, Louisiana, Missouri, Nevada, North Carolina, South Carolina and Texas. CenterWell Senior Primary Care has a stron...[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 larges...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    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 - 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]
    Medical Director

    Medical Director

    Envision Physician Services - EM / HM • Dallas, TX, US
    [job_card.full_time] +2
    Pediatric Hospital Medicine Team.Medical City Children’s Hospital.As a key leader in a high-acuity, high-volume tertiary care center, you’ll work alongside a supportive team that values...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director

    Medical Director

    Suvida Healthcare LLC • Garland, Texas, United States, 75041
    [job_card.full_time]
    At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling j...[show_more]
    [last_updated.last_updated_30]
    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]
    Bilingual Clinical Director / BCBA

    Bilingual Clinical Director / BCBA

    ICBD • Plano, TX, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Bilingual Clinical Director (BCBA) – Texas ABA Centers.Are you a BCBA interested in taking your career in a new direction? Our Clinical Director is responsible for monitoring the daily clinica...[show_more]
    [last_updated.last_updated_variable_days]
    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]