Behavioral Health Medical Director - Psychiatrist- Pennsylvania Medicaid

Key Responsibilities

The Medical Director is responsible for the administrative oversight of behavioral health medical services to ensure appropriate and cost-effective medical care, potentially developing programs to improve quality, cost, and outcomes. This role involves supporting clinicians, conducting clinical reviews with providers, interpreting medical policies, and leading clinical activities that impact healthcare quality and cost.

Requirements

Candidates must possess an MD or DO degree and be Board certified by ABMS or AOA, along with an active, unrestricted medical license in Pennsylvania. A minimum of 10 years of clinical experience is required, or 5 years specifically providing healthcare for Health Solutions and Carelon organizations.

Qualifications

Education

Doctoral or professional degree (postgraduate degree)

Experience

10+ years of experience

Certifications

Key Skills