Medical Director – Psychiatrist, Child Adolescence
Elevance Health
full-time
Posted on:
Location Type: Hybrid
Location: Tampa • Florida • United States
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Job Level
About the role
- 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
- 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
- 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
Applicant 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