Medical Director, Behavioral Health (Based in FL)

About the Role

Medical Director, Behavioral Health (Based in FL) at Molina Healthcare in United States. Benefits: health benefits.

Key Responsibilities

• Strong organizational and time-management skills.

Requirements

• Required Qualifications
• Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice (FL).
• Board Certification in Psychiatry-Adolescent and Child.
• Ability to multi-task and meet deadlines.
• Experience with utilization/quality program management.
• Managed care experience.

Benefits & Compensation

• 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.