Talent.com
Medical Director, Behavioral Health
Medical Director, Behavioral HealthMolina Healthcare • Las Cruces, NM, United States
[error_messages.no_longer_accepting]
Medical Director, Behavioral Health

Medical Director, Behavioral Health

Molina Healthcare • Las Cruces, NM, 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 • Las Cruces, NM, United States

    [internal_linking.similar_jobs]
    Physician (MD / DO) - Family Practice in Carlsbad, NM

    Physician (MD / DO) - Family Practice in Carlsbad, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Carlsbad, New Mexico, 88220!.Carlsbad is a city in southeast New Mexico. It is known as a gateway to the bat-fill...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Physician (MD / DO) - Family Practice in Roswell, NM

    Locum Physician (MD / DO) - Family Practice in Roswell, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Roswell, New Mexico, 88201!.Though your CompHealth recruiter will be your single point of contact, they're backe...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician / Medical Director / New Mexico / Locum or Permanent / Part-Time Backup Medical Director J

    Physician / Medical Director / New Mexico / Locum or Permanent / Part-Time Backup Medical Director J

    Samuel Contract Staffing LLC • Las Cruces, NM, US
    [job_card.part_time]
    I work with a Plasma Donation Center in Las Cruces, NM.We have an open position for a backup Medical Director (MD or DO) to join us 4-8 hours a month. Must be within 40 miles of the clinic.Competiti...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Physician (MD / DO) - Ophthalmology in Bloomfield, NM

    Locum Physician (MD / DO) - Ophthalmology in Bloomfield, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time] +1
    LocumJobsOnline is working with Millbrook Support Services to find a qualified Ophthalmology MD in Bloomfield, New Mexico, 87413!. Millbrook specializes in placing healthcare providers of varying sp...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in Alamogordo, NM

    Physician (MD / DO) - Family Practice in Alamogordo, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Alamogordo, New Mexico, 88310!.Move to this picturesque, desert community that lies in the Tularosa Basin and is...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in Albuquerque, NM

    Physician (MD / DO) - Family Practice in Albuquerque, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Albuquerque, New Mexico, 87114!.Albuquerque, NM, is a great place for physicians to practice due to its growing ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Psychiatry - General / Other in Ruidoso, NM

    Physician (MD / DO) - Psychiatry - General / Other in Ruidoso, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    Doctor of Medicine | Psychiatry - General / Other.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with CompHealth to find a qualified Psychiatry MD in Ruidoso, New Mexico, 88...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in Los Alamos, NM

    Physician (MD / DO) - Family Practice in Los Alamos, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Los Alamos, New Mexico, 87544!.This position is in the beautiful mountains of northern New Mexico.You will enjoy...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Cardiology - General / Other in Las Cruces, NM

    Physician (MD / DO) - Cardiology - General / Other in Las Cruces, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Cardiology MD in Las Cruces, New Mexico, 88011!.Come practice in one of the largest cities in New Mexico, with a delightful 320 days o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Physician (MD / DO) - Critical Care in Las Cruces, NM

    Locum Physician (MD / DO) - Critical Care in Las Cruces, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time] +1
    LocumJobsOnline is working with CompHealth to find a qualified Critical Care MD in Las Cruces, New Mexico, 88011!.When it comes to finding the perfect locums assignment, sometimes it's all about wh...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Medical Director Physician

    Medical Director Physician

    YesCare • Las Cruces, NM, US
    [job_card.full_time]
    Join YesCare : A Career with Purpose in Correctional Healthcare.Correctional healthcare is more than just a job-it's a calling. At YesCare, you have the unique opportunity to make a meaningful differ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in New Mexico

    Physician (MD / DO) - Family Practice in New Mexico

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time] +1
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in New Mexico!.CompHealth has employed positions, partnership-track opportunities, and independent contractor posit...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Physician (MD / DO) - Family Practice in New Mexico

    Locum Physician (MD / DO) - Family Practice in New Mexico

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with All Star Healthcare Solutions to find a qualified Family Practice MD in New Mexico!.High paying Primary Care positions in Santa Fe! JOB ID 69762.J1 and H1b Visa cand...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in Tucumcari, NM

    Physician (MD / DO) - Family Practice in Tucumcari, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time] +2
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Tucumcari, New Mexico, 88401!.Come practice in Tucumcari, a city in the in and the county seat of Quay County, N...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in Gallup, NM

    Physician (MD / DO) - Family Practice in Gallup, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time] +1
    LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Gallup, New Mexico, 87301!.Gallup, NM, offers physicians the chance to practice in a culturally rich community k...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Pediatrics - General / Other in Albuquerque, NM

    Physician (MD / DO) - Pediatrics - General / Other in Albuquerque, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time] +2
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Albuquerque, New Mexico, 87113!.Come live and practice in this historic and culturally rich city in New Mexico.It is ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Locum Physician (MD / DO) - Gastroenterology in New Mexico

    Locum Physician (MD / DO) - Gastroenterology in New Mexico

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    LocumJobsOnline is working with CompHealth to find a qualified Gastroenterology MD in New Mexico!.Interested in this assignment? Or maybe you still have not found what you are looking for? Contact ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Physician (MD / DO) - Family Practice in Roswell, NM

    Physician (MD / DO) - Family Practice in Roswell, NM

    LocumJobsOnline • Las Cruces, New Mexico, US
    [job_card.full_time]
    Doctor of Medicine | Family Practice.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with CompHealth to find a qualified Family Practice MD in Roswell, New Mexico, 88201!.T...[show_more]
    [last_updated.last_updated_30] • [promoted]