Behavioral Health Medical Director- ABA Child Psychiatrist

Elevance Health; Costa Mesa (CA); Remote; USD 100,000 - 110,000; Full time

Job summary

Elevance Health is seeking a Behavioral Health Medical Director- ABA Child Psychiatrist to conduct medical necessity reviews and support pediatric behavioral health care. This full-time position offers the flexibility of remote work with occasional required training in California, along with the opportunity to shape innovative medical policies while ensuring high-quality healthcare delivery.

Qualifications

• Minimum 10 years clinical experience, active unrestricted medical license in California.
• Willingness to obtain Indiana medical license preferred.
• Board Certification in Child & Adolescent psychiatry is a plus.

Responsibilities

• Conducting peer-to-peer clinical reviews with attending physicians.
• Developing and proposing new medical policies.
• Identifying opportunities for innovation to increase effectiveness and quality.

Skills

Clinical Knowledge

Utilization Review

Leadership

Innovation

Education

MD or DO

Board Certification

Job description

Behavioral Health Medical Director- ABA Child Psychiatrist

Behavioral Health Medical Director- ABA Child Psychiatrist

3 days ago Be among the first 25 applicants

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The Behavioral Health Medical Director- ABA Child Psychiatrist is responsible for completing medical necessity reviews for Applied Behavioral Analysis cases supporting commercial and Medicaid business lines. This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. Schedule is full-time, Monday through Friday, with openness to part-time. Responsibilities include conducting peer-to-peer clinical reviews with attending physicians or other providers, applying clinical knowledge to utilization review processes, adhering to medical policies and clinical guidelines, engaging in clinical and non-clinical activities impacting healthcare quality, cost, and outcomes, providing guidance for clinical operational aspects of programs, serving on internal and/or external committees, developing and proposing new medical policies, and identifying opportunities for innovation to increase effectiveness and quality. Minimum requirements include MD or DO with Board certification approved by ABMS or AOA, active unrestricted medical license to practice in California, minimum 10 years clinical experience, and for Health Solutions and Carelon organizations, minimum 5 years healthcare experience. Preferred qualifications include willingness to obtain an Indiana medical license and Board Certification in Child & Adolescent psychiatry. The position supports locations in California, Nevada, Colorado, and Washington State.

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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