Field Medical Director, MSL – Gulf States Territory
BeOne Medicines
Part Time Medical Director – Behavioral Health, Psychiatrist
Capital Blue Cross
part-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $106,000 - $172,250 per year
Job Level
Lead
About the role
- Provides clinical leadership and oversight across Capital’s behavioral health operations
- Conducts and oversees medical necessity reviews, benefit determinations, and appeals
- Collaborates with internal teams, external partners, and network providers to drive quality and improve member outcomes
- Analyzes data to identify trends and informs policy and program development
- Supports organizational accreditation efforts and regulatory review processes
Requirements
- MD or DO Degree
- Appropriate Board Certification
- Current unrestricted license in Pennsylvania as an MD or DO
- Currently covered by, or eligible to be covered by, medical liability insurance
- 5+ years of clinical experience, post residency, including both inpatient and outpatient care
- 8+ years of experience in healthcare with an emphasis on analysis and process optimization
- Managed Care Organization and/or health insurance plan experience preferred
Benefits
- Medical, Dental & Vision coverage
- Retirement Plan
- Generous time off including Paid Time Off, Holidays, and Volunteer time off
- Incentive Plan
- Tuition Reimbursement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical necessity reviewsbenefit determinationsdata analysispolicy developmentprogram developmentclinical oversightprocess optimizationinpatient careoutpatient caremanaged care organization
Soft skills
leadershipcollaborationcommunicationorganizational skillsquality improvementtrend analysis
Certifications
MD degreeDO degreeBoard Certificationmedical liability insurance
