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Psychiatric Medical Director
Job Summary
Occupation
Physician
Specialty
Psychiatric-Mental Health
Salary
$285,000
– $310,000
• yearly
Degree Required
MD/DO
Position Type
Permanent/Full-Time
Work Environment
Corporate/Non-Clinical
Location
Sacramento, California, United States
Visa Sponsorship
No
Job Description
Last Update:
11/27/19
We are currently searching for a board certified psychiatrist to become the medical director for a major health insurance provider in California. The medical director will be responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to:Interpret existing policies and develop new policies based on changes in the healthcare or medical arena. Will lead, develop, direct and implement clinical and non-clinical activities that impact health care quality cost and outcomes. Will identify and develop opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, will provide guidance for clinical operational aspects of the program. Will support the medical management staff ensuring timely and consistent responses to members and providers. Experience with substance use is preferred. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. This position is 100% remote. For more information and to schedule an interview please send your CV via e-mail. ADV/9-19