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

Medical Director, Behavioral Health

Molina Healthcare • Yonkers, NY, 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, NY, 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]
    Remote Medical Director

    Remote Medical Director

    HealthCare Support • Yonkers, 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

    IPG Health • New York, NY, United States
    [job_card.full_time]
    Medical Directors assume responsibility for understanding the scientific and clinical aspects of their assigned businesses in depth, and serve as a key strategic resource for both internal teams an...[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]
    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]
    Director, Office of Developmental and Behavioral Health

    Director, Office of Developmental and Behavioral Health

    City of New York • Long Island City, NY, US
    [job_card.full_time]
    Director, Office of Developmental and Behavioral Health.The Bureau of Children, Youth, Families & Developmental Disabilities (CYF / DD) is responsible for planning and monitoring much of NYC's compre...[show_more]
    [last_updated.last_updated_1_day] • [promoted]
    Director, Clinical Pharmacology

    Director, Clinical Pharmacology

    Eisai • Nutley, NJ, United States
    [job_card.full_time]
    At Eisai, satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai's human health care (hhc) mission.We're a growing pharm...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director (NYCE)

    Medical Director (NYCE)

    EmblemHealth • New York, NY, United States
    [job_card.full_time]
    Manage the daily clinical operation and administration of a Medical Management Department or function to support improved utilization results across the spectrum of medical specialties.Provide clin...[show_more]
    [last_updated.last_updated_30] • [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]
    Regional Medical Director, Brooklyn Health Network

    Regional Medical Director, Brooklyn Health Network

    NYC Health + Hospitals • New York, NY, United States
    [job_card.full_time]
    A major public health care system in Brooklyn is seeking a Regional Medical Director to oversee several locations.Responsibilities include providing direct patient care, implementing clinical pract...[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]
    Medical Director

    Medical Director

    ASPCA • New York, NY, US
    [job_card.full_time]
    Summary : The ARC (Animal Recovery Center) and CARE (Canine Annex for Recovery and Enrichment) are facilities dedicated to the recovery and rehabilitation of victims of cruelty and neglect admitted ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Medical Director - Psychiatrist

    Medical Director - Psychiatrist

    Insight Talent Solutions, LLC • New York, NY, US
    [job_card.full_time]
    We are seeking a Medical Director of Behavioral Health (Psychiatrist) for a Community Health Center in Harlem, NY.Conducts psychiatric evaluations and medication management sessions.Develops and ap...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Director, Strategy - Healthcare

    Director, Strategy - Healthcare

    IPG Mediabrands • New York, NY, United States
    [job_card.full_time]
    We believe in the power of media to reshape our industry and orchestrate a brand's entire consumer experience, by balancing both what unites people and what makes them different.When brands unite p...[show_more]
    [last_updated.last_updated_30] • [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]