Behavioral Health Medical Director – Child Psychiatrist

Elevance Health

Behavioral Health Medical Director overseeing child psychiatry for Elevance Health. Responsibilities include medical necessity reviews and peer-to-peer clinical assessments.

Posted 4/29/2026full-timeRemote • California, Colorado, Nevada, Washington • 🇺🇸 United StatesLead💰 $250,236 - $428,976 per yearWebsite

About the role

Key responsibilities & impact

Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits with providers and external physicians.
Applies clinical knowledge and skills to utilization review processes.
Adheres to medical policies and clinical guidelines.
As assigned, engage in clinical and non-clinical activities that impact health care quality cost and outcomes
If requested, provides guidance for clinical operational aspects of a program.
May be required to serve on internal and/or external committees.
May develop and propose new medical policies based on changes in healthcare.
Identifies and develops opportunities for innovation to increase effectiveness and quality.

Requirements

What you’ll need

Requires MD or DO
Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
Willing to obtain a California medical license
Board Certified in Child & Adolescent psychiatry strongly preferred.

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution

ATS Keywords

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Hard Skills & Tools

clinical reviewsutilization reviewmedical policiesclinical guidelineshealth care qualityhealth care outcomesinnovation in healthcare

Soft Skills

guidancecollaborationcommunicationleadership

Certifications

MDDOboard certificationAmerican Board of Medical Specialties (ABMS)American Osteopathic Association (AOA)California medical licenseBoard Certified in Child & Adolescent psychiatry