Behavioral Health Medical Director: Lead Evidence‑Based Care

CareSource; New York (NY); On-site; USD 195,000 - 342,000; Full time

Job summary

CareSource—ElderServe Health seeks an experienced Behavioral Health Medical Director to provide clinical oversight of behavioral health services, ensuring evidence-based, high-quality care across programs. This leader will guide medical management, utilization review, policy development, and regulatory compliance, partnering with interdisciplinary teams to advance whole-person care and improve outcomes.

The role requires MD/DO with psychiatry board certification and at least five years of

Qualifications

• MD or DO required; Board Certification in Psychiatry preferred.
• Five years of clinical behavioral health practice; three years of leadership in clinical programs.
• Experience with Medicaid/Medicare, managed care, or health plan environments preferred.
• Experience with utilization management, quality management, and population health initiatives preferred.

Responsibilities

• Provide clinical leadership and oversight for behavioral health services to ensure evidence-based, high-quality care.
• Serve as the behavioral health clinical subject matter expert and provide medical consultation on psychiatric care and SUD treatment.
• Lead utilization management activities including prior authorizations, peer reviews, appeals, and grievances.
• Develop, interpret, and evaluate behavioral health clinical policies, guidelines, and medical management criteria.
• Collaborate with interdisciplinary teams to improve quality, access, and member outcomes.

Skills

Clinical leadership

Medical judgment

Regulatory compliance

Quality improvement

Data-driven decision making

Communication

Collaboration

Strategic planning

Stakeholder influence

Education

MD/DO

Board Certification in Psychiatry

Job description

CareSource—ElderServe Health seeks an experienced Behavioral Health Medical Director to provide clinical oversight of behavioral health services, ensuring evidence-based, high-quality care across programs. This leader will guide medical management, utilization review, policy development, and regulatory compliance, partnering with interdisciplinary teams to advance whole-person care and improve outcomes.

The role requires MD/DO with psychiatry board certification and at least five years of