Medical Director – Behavioral Health

Job not on LinkedIn

🔥 1 hour ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $174.1k - $374.9k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Provide leadership and day-to-day physician oversight for the utilization management team • Manage high-risk cases and medical necessity decisions • Provide comprehensive behavioral health care management to facilitate appropriate quality care and improve program and operational efficiency • Participate in appeals, including investigation of adverse events and quality-of-care concerns • Provide psychiatric leadership, consultation, and training to an interdisciplinary utilization management team • Assist with development, implementation, monitoring, and evaluation of the utilization management program and action plan • Assist with development, implementation, and interpretation of medical policy, medical necessity criteria, clinical practice guidelines, and new technology assessments • Participate in development, implementation, and evaluation of clinical and medical programs • Confer with behavioral health practitioners regarding severe, complex, and/or treatment-resistant illnesses • Identify and address quality-of-care concerns with providers • Provide psychiatric leadership for NCQA-compliant clinical quality improvement activities • Participate in triage and referral for care management • Provide weekend coverage every 6–7 weeks • Perform other duties as necessary

🎯 Requirements

• Board-certified Psychiatrist currently licensed in the State of Texas or with the ability to become licensed in the State of Texas • Active and current state medical license without encumbrances • Ability to obtain other state licenses • Ability to obtain additional state licensures and provide UM coverage across multiple different state health plans • Minimum 5 years of clinical practice experience in the health care delivery field as a psychiatrist (preferred) • Experience with managed care, as a provider and manager of care utilization review or physician advisor experience (preferred) • Child/Adolescent Board Certification (preferred) • MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine)

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Equity award program

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume