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Medical Director - Behavioral Health
Eagan, MN · HealthcareJoin 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
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:
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Recruiter
Max Populi, LLC
4628 Bayard Street, #207
Pittsburgh, PA 15213-2750
Tel: (412) 567-5279
Fax: (412) 567-5198
e-mail: jobs@maxpopuli.com
Website: http://www.maxpopuli.com