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Medical Director – Psychiatrist, Child Adolescence
Elevance HealthMedical Director-Psychiatrist for Elevance Health managing clinical programs focused on child and adolescent care. Leading clinical operations and providing strategic guidance to enhance healthcare quality and outcomes.
About the role
Key responsibilities & impact- Supports clinicians to ensure timely and consistent responses to members and providers
- Provides guidance for clinical operational aspects of a program
- Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
- Serves as a resource and consultant to other areas of the company
- Interprets medical policies and clinical guidelines
- Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes
- Identifies and develops opportunities for innovation to increase effectiveness and quality
Requirements
What you’ll need- Requires MD or DO and Board certification
- Must possess an active unrestricted medical license to practice medicine
- Minimum of 10 years of clinical experience
- For Health Solutions and Carelon organizations, minimum of 5 years of experience providing health care is required
- Experience working in managed care environment strongly preferred
- 2-3 years utilization management review experience strongly preferred
- Clinical experience working with child adolescent or ABA cases strongly preferred
- Knowledgeable of Medicaid/Medicare policies and guidelines aligned to the state of Florida strongly preferred
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical, dental, vision, short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical reviewsutilization managementmedical policy interpretationclinical guidelineshealth care quality improvementinnovation development
Soft Skills
consultationleadershipguidancecommunication
Certifications
MDDOBoard certificationactive unrestricted medical license