Associate Medical Director Behavioral Health or Utilization Management Medical Director DOE
Lewiston, IDAll locationsLewiston, IDSalt Lake City, UTCoeur d'Alene, IDPortland, ORBoise, IDBend, ORFargo, NDVancouver, WAUtahRenton, WAMedford, ORYakima, WABellevue, WATacoma, WAOregonSpokane, WAWashingtonIdahoBurlington, WA Remote
$217,600–$294,400 a yearJobFig found this opening at its original source and checks that it remains available.
About the role
This is a part-time non-benefited position with a maximum of 12 hours per week. Every day, Cambia’s dedicated team of physicians are living our mission to make health care easier and lives better. As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership, and clinical oversight for behavioral health operations across all lines of business within the health plan, with a primary focus on behavioral health utilization management. Partners with leaders and staff across the organization to ensure policies, programs and strategies related to our members. Conducts case reviews requiring physician involvement and/or provides clinical expertise to others related to behavioral health case management, prior authorizations and appeals. Provides peer-to-peer consultations with providers – all in service of creating a person-focused health care experience. Are you a motivated and experienced medical professional looking for a new challenge? Do you have a passion for patient care and want to make a big difference in healthcare? Then this role may be the perfect fit.
What you'll bring
- Licensed Physician with an MD or DO degree
- Active, unrestricted license to practice medicine in one or more of our 4 states.
- Qualification by training and experience to render clinical opinions about medical conditions, procedures, and treatments under review.
- At l ea s t 3 y ea r s clinic al e xperi e nc e.
- Two years health plan medical utilization management and/or case management experience.
- Equiv a l e n t combin at io n o f e duc at io n a n d e xp e ri e nc e.
- Must be located in one of our four states.
- In-depth knowledge of best practices related to medical care for a wide variety of behavioral health conditions.
- Demonstrated competency working with hospitals, provider groups, or integrated delivery systems to effectively manage patient care to improve outcomes.
- Passion for population health, healthcare transformation and improving the experience of people with mental health issues.
- Strong communication and facilitation skills with internal staff and external stakeholders, including the ability to resolve issues and seek optimal outcomes.
- Proven ability to develop and maintain positive working relationships with community and provider partners.