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Behavioral Health Medical Director - Remote in California

Company: Elevance Health
Location: Glendale
Posted on: September 22, 2022

Job Description:

**Behavioral Health Medical Director - Remote in California**+ Job Family: Medical and Clinical+ Type: Full time+ Date Posted:Sep 08, 2022+ Req #: PS74286**Location:**+ California, California**Description****Behavioral Health Medical Director - Remote in California****Location: Remote, must live in CA.****Be part of an extraordinary team**We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?**Behavioral Health Medical Director - California**Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. This position will heavily focus on utilization review. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.**How you will make an 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, and patients' office visits with providers and external physicians.+ May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.+ Serves as a resource and consultant to other areas of the company.+ May be required to represent the company to external entities and/or serve on internal and/or external committees.+ May chair company committees. Interprets medical policies and clinical guidelines.+ May develop and propose new medical policies based on changes in healthcare.+ 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.**Minimum Requirements:**+ MD or DO+ Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Psychiatry and Neurology in Psychiatry.+ Must possess an active unrestricted medical license in the state of California.+ Must reside in California.+ Minimum of 5 years of experience providing health care is required.**Preferred Skills, Capabilities, and Experience:**+ Utilization Review experience preferred.+ Addiction and/or Child and Adolescent Psychiatry Certification preferred.+ Ability to work collaboratively with a multi-disciplinary team required.+ Behavioral Health Addiction Psychiatry background preferred.Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.**Be part of an Extraordinary Team**Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealthinc.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.EEO is the LawEqual Opportunity Employer / Disability / VeteranPlease use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.+ EEO Policy Statement+ EEO is the Law Poster+ EEO Poster Supplement-English Version+ Pay Transparency+ Privacy Notice for California ResidentsElevance Health, Inc. is an E-verify EmployerNeed Assistance?Email us (elevancehealth@icareerhelp.com) or call 1-877-204-7664

Keywords: Elevance Health, Glendale , Behavioral Health Medical Director - Remote in California, Executive , Glendale, Arizona

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