Behavioral Health Medical Director - Illinois - Remote

MedCentric - REMOTE, Illinois, United States

Behavioral Health Medical Director - Illinois - Remote 
One of our best clients is currently seeking a Behavioral Health Medical Director to provide leadership for utilization management and case management programs for mental health and chemical dependency services. This individual will provide clinical support for all areas of Medical Affairs and will work to improve delivery systems to ensure the best possible quality care for members. The position reports directly to the plan’s Chief Medical Officer and will affect the lives of the under-served members the plan helps.

This position offers:

  • The opportunity to be a part of the growth of a health plan in this area with the support of a nationally recognized, stable, and publicly-traded company.

  • Excellent benefits

  • Generous base and bonus package

Required Qualifications:

  • Doctorate Degree in Medicine

  • Board Certified in Psychiatry

  • Current Illinois Medical license

  • 5+ years clinical practice.

  • Knowledge of applicable state, federal and third party regulations

Preferred Qualifications:

  • 3 years experience in Utilization/Quality Program management.

  • 2+ years HMO/Managed Care experience.

  • Peer Review, medical policy/procedure development, provider contracting experience.

  • Experience with NCQA, HEDIS, Medicaid, MediCare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.

Posted On: Thursday, May 28, 2020
Compensation: $240,000.00 to $250,000

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