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.related_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]
    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

    Medlead Careers • Brooklyn, New York, USA
    [job_card.full_time]
    Always had a dream of a job that offers a mix of hands-on Patient Care and Medical Director work.Apply to this dream offer today!!. Collaborate with a well-established team to form high-performing m...[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]
    Physician Medical Director - Family Health Center - Harlem

    Physician Medical Director - Family Health Center - Harlem

    Convergence • New York, New York
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Leads the clinical operations of the assigned practice, including provider supervision, quality oversight, regulatory compliance, and support of research and training programs.Maintains an active c...[show_more]
    [last_updated.last_updated_variable_days]
    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]
    Remote Medical Director

    Remote Medical Director

    HealthCare Support • Bronx, NY, United States
    [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]
    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, 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]
    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, Pediatric Gastroenterology and Nutrition

    Medical Director, Pediatric Gastroenterology and Nutrition

    Valley Health System • Paramus, NJ, United States
    [job_card.full_time] +1
    Valley Health System, in affiliative with the Icahn School of Medicine at Mount Sinai, is actively recruiting a Pediatric Gastroenterologist to join the team as Medical Director of the Pediatric Ga...[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, Developmental / Behavioral Pediatrics Program

    Medical Director, Developmental / Behavioral Pediatrics Program

    Valley Medical Group • Paramus, NJ, US
    [job_card.full_time] +1
    We are looking for a motivated, compassionate, forward-thinking Medical Director for the Developmental Pediatrics program at the Valley Hospital in Paramus, NJ. The Developmental Pediatrics program ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director for Infectious Disease, Correctional Health Services

    Medical Director for Infectious Disease, Correctional Health Services

    NYC Health + Hospitals / Correctional Health Services • New York, NY, US
    [job_card.full_time]
    NYC Health + Hospitals is the largest public health care system in the nation.We are a network of 11 hospitals, trauma centers, neighborhood health centers, nursing homes, post-acute care centers, ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Medical Director

    Senior Medical Director

    USA Jobs • Yonkers, NY, 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]
    Regional Medical Director New York City

    Regional Medical Director New York City

    Bond Vet • New York City, New York, USA
    [job_card.full_time]
    Bond Vet is on a mission to strengthen the human-animal bond through better pet care.We offer primary and urgent care so were there for pets when they need us most. Our clinics are designed with pet...[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]