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Medical Director - Behavioral Health

Company: Max Populi, LLC
Location: Pittsburgh
Posted on: September 13, 2020

Job Description:

Join a growing team of medical management professionals at one of the fastest healthcare companies in the country.  This division is one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the State Medicaid Program. Responsible for the administration of medical management services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the Medicare business unit.  Responsible for the administration of medical management services for company health plans and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the Medicare business unit. Primary duties may include, but are not limited to: Evaluates requests for service coverage for medical necessity

Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.

Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

Supports the Medical Management staff ensuring timely and consistent responses to members and providers.

Identifies and develops opportunities for innovation to increase effectiveness and quality.

Serves as a resource and consultant to other areas of the company.

May chair or serve on company committees.

May be required to represent Anthem to external entities and/or serve on external committees

Skills

MD or DO in MN

At least 5 years of post-residency Psychiatry experience required

Requires current, unrestricted MN license to practice medicine

Current ABMS Psychiatry board certification required   Competitive compensation with benefits offered.

Contact information :

________________________________________________

Keywords: Max Populi, LLC, Pittsburgh , Medical Director - Behavioral Health, Other , Pittsburgh, Pennsylvania

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