Behavioral Health Medical Director

🕒 August 13

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $223.8k - $313.1k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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This company has sponsored H1B visas in the past.

👻 Ghost score 44%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Develop behavioral health care strategy and/or operations • Develop procedures, processes, productivity targets, and new delivery models • Maintain efficient operations and attainment of quality-of-care and financial goals • Provide information for pricing guidelines based on utilization patterns and client demographics • Make determinations on whether requested services, levels of care, and/or sites of service should be authorized • Apply national clinical guidelines, CMS policies and determinations, clinical references, and other expertise • Learn and operationalize Medicare, Medicare Advantage, and/or Medicaid requirements • Engage with contracted external physicians, physician groups, facilities, and community groups • Support regional market priorities, collaborative business relationships, value-based care, population health, and disease or care management • Support Humana values and the Bold Goal mission • Report typically to a Regional Vice President of Health Services, Lead, or Corporate Medical Director

🎯 Requirements

• MD or DO degree • 5+ years of direct clinical patient care experience post residency or fellowship • Current and ongoing Board Certification in an approved ABMS Medical or ABPN Specialty • Current and unrestricted license in at least one jurisdiction, with willingness to obtain additional licenses if required • No current sanction from Federal or State Governmental organizations • Ability to pass credentialing requirements • Excellent verbal and written communication skills • Evidence of analytic and interpretation skills • Prior experience participating in teams focused on quality management, utilization management, case management, discharge planning, and/or home health or post-acute services • Dedicated work space without ongoing interruptions to protect PHI/HIPAA information • Home internet with minimum download speed of 25 Mbps and upload speed of 10 Mbps

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical, dental, and vision benefits • 401(k) retirement savings plan • Paid time off • Company and personal holidays • Paid parental and caregiver leave • Short-term and long-term disability • Life insurance • Home or hybrid home/office work arrangement • Occasional travel to Humana offices for training or meetings

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