Medical Director leading US medical strategy for Pulmonary products in a biopharmaceutical company. Delivering integrated medical plans and providing scientific expertise to enhance patient care and treatment outcomes.
About the role
- Behavioral Health Medical Director responsible for behavioral health services for California Medicaid members. Reviewing cases and providing clinical consultation while ensuring quality care outcomes.
Responsibilities
- Review cases for California Medicaid members, including child and substance use disorders
- Administration of behavioral health medical services
- Develop and implement programs to improve quality and outcomes
- Provide clinical consultation and serve as strategic advisor for clinical operations
- Conduct peer-to-peer clinical reviews and discussions with physicians and providers
- Represent the company to external entities and serve on internal/external committees
- Interpret medical policies and develop new medical policies based on changes in healthcare
Requirements
- MD or DO and Board certification approved by American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA)
- Active unrestricted medical license to practice in California
- Minimum of 10 years of clinical experience (or equivalent education/experience)
- Minimum of 5 years of experience providing health care (for specific organizations)
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Paid Time Off
- Paid holidays
- Medical benefits
- Dental benefits
- Vision benefits
- Short and long term disability benefits
Job title
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