Medical Director – Behavioral Health

🔥 12 hours ago

🥔 Idaho – Remote

🥔 Idaho – Remote

💵 $200.3k - $360.5k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Magellan Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

🧬 Biotechnology

🧘 Wellness

💰 $101M Private Equity Round on 2004-01

Healthcare Insurance • Biotechnology • Wellness

Magellan Health is a leading healthcare management company that provides a range of services, including behavioral health, pharmacy management, and employee assistance programs. The company focuses on delivering high-quality care and support to individuals and families, particularly those in military and community settings. Magellan Health emphasizes personalized service and innovative solutions to improve health outcomes and enhance the overall patient experience.

📋 Description

• This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare, and Commercial) and implements programs to support this vision. • Provides clinical leadership to the interdisciplinary Medical Management team, which includes clinical/medical oversight of clinical team members and consultation and training with care managers in order to address cost and quality of care. • Provides day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. • Follows high risk cases throughout treatment continuum from inpatient, rehabilitation, partial hospitalization, outpatient and other levels of care. • Ensures that persons with severe, complex, and/or treatment resistant illnesses receive medically necessary coordinated care throughout the episode of treatment. • Develop and implement a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most cost-effective setting.

🎯 Requirements

• Doctor of Medicine (MD) degree OR Doctor of Osteopathic Medicine (DO) degree OR Bachelor of Medicine, Bachelor of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and successful completion of United States based fellowship for subspecialists) • Successful completion of the ECFMG and FLEX examinations. • Full training in a residency program in the United States or Canada that is approved by the Accreditation Council for Graduate Medical Education (ACGME). • Post-residency experience of at least 3 years involving substantial direct patient care during this period at multiple levels of care. • Clinical experience pertinent to the patient population(s) being managed. • Unrestricted current and valid license or certification to practice medicine in a state or territory of the United States. • Ability and desire to lead through and effect appropriate changes. • Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance and continuous quality improvement (CQI) processes. • After hours coverage may be required.

🏖️ Benefits

• comprehensive benefits package • health insurance • life insurance • voluntary benefits • wellness programs