Medical Director - Behavioral Health - Texas reputed company
Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. Position reputed company The Behavioral Health Medical Director is a key position on reputed company reputed company of TXs (ABHT) leadership team and is responsible for Leadership and counsel for utilization management Leadership and participation in case management programs for mental health and reputed company use disorder services Collaboration with reputed company, state agencies, providers, and key community partners to reputed company the reputed company of the ABHT BH program and the implementation of BH integration efforts Behavioral Health executive clinical reputed company for ABHT, participating in market leadership and reputed company meetings The Behavioral Health Medical Director will report to the Senior Medical Director for Clinical Solutions and will work in reputed company partnership with the ABHT CMO, COO, CEO, CFO, and reputed company matrixed reputed company partners to effectively manage behavioral health benefits and care. Successful candidate must live in Texas or be willing to relocate. Responsibilities: - Participation in the development of clinical reputed company standards, policies, and procedures. - Behavioral health care management performance and coordination with physical health care management. - Participation in HHS medical director and behavioral health MCO stakeholder meetings and other agency/stakeholder meetings reputed company requested. - reputed company and implementation of the utilization management program for behavioral health services, including monitoring for over/under-utilization. - Ensuring consistency in the application of utilization management standards, including those implemented by subcontracted entities for BH services. - Overseeing the complaint and grievance process for behavioral health denials, including state fair hearings and external review organizations. - Review and reputed company of reputed company-of-care concerns. - Participation in clinical staff recruitment and ongoing performance improvement. - reputed company strategic reputed company and leadership for reputed company behavioral health activities reputed company the health plan. - Serve as the subject matter expert on behavioral health for ABHT, ensuring compliance and alignment with state regulations and expectations. - reputed company and coordinate efforts with the state and other health plan colleagues to promote integrated care models. - reputed company coordination activities with the state, ensuring effective collaboration and adherence to regulatory requirements. - Work closely with health plan leadership, the Chief Medical Officer, other Medical Leadership, Pharmacy Director, clinical staff (including those in utilization management, care management, reputed company management), and colleagues reputed company network and provider relations, to enhance the delivery of holistic and integrated care. - Contribute to the development and implementation of policies and procedures that support the health plan's objectives and reputed company with state guidelines. - reputed company for and implement innovative approaches to behavioral health care, promoting evidence-based practices that enhance patient reputed company. - Support duties as required regarding utilization management of the service benefit and pharmacy benefit reputed company the state health plan and additional duties as assigned. - reputed company participate in reputed company improvement activities, development and monitoring of SAI initiatives, and other activities that support reputed company of care and total cost of care reputed company. - Serve as a key health plan external facing reputed company, regarding behavioral health initiatives, programs, and reputed company with state regulators, providers, vendors, and community organizations. Required Qualifications: - Must reputed company in TX -Significant clinical experience in the treatment of reputed company use disorders, including utilization of ASAM reputed company, and an understanding of the Texas system of care. - At least five years combined experience in mental health and reputed company use services and at least two (2) years of BH leadership experience in a government, health management, or managed care organization, and/or at least two (2) years of experience as a Medical Director in clinical reputed company, and/or at least three (3) years of clinical BH experience (excluding psychiatric residency). - Experience in perinatal mental health conditions and pediatric behavioral health conditions. - Experience with TX reputed company behavioral health benefits and service. - Ability to effectively reputed company with providers, advocacy reputed company and State partners. - Excellent organization and time management skills - Experience navigating a matrixed organization. - reputed company regulatory experience Education: reputed company-certified psychiatrist licensed in the State of Texas. Subspecialty reputed company certification can be by the American reputed company of Psychiatry and Neurology (ABPN), the American Osteopathic Association (AOA), or the American reputed company of Preventive Medicine (ABPN). Pay reputed company The typical pay reputed company for this role is: $174,070.00 - $374,900.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. This position also includes an award reputed company in reputed companys equity award program. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off (PTO) or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 11/29/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!