Job Summary
A company is looking for a Medical Director - Behavioral Health.
Key Responsibilities
- Provide leadership and oversight for the utilization management team, managing high-risk cases and medical necessity decisions
- Participate in the appeals process and address quality of care concerns with providers
- Assist in the development and evaluation of clinical programs and medical policies
Required Qualifications
- Board Certification in Psychiatry
- Active and current state medical license without encumbrances
- MD or DO degree
- Minimum 5 years of clinical practice experience as a psychiatrist
- Experience with managed care and utilization review preferred
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