Hybrid/Remote Medical Director, Behavioral Health

Blue Shield of CA; Redding (CA); Hybrid; USD 250,000 - 350,000; Full time

Benefits offered by this job

Hybrid Virtual Work

Job summary

Blue Shield of California is seeking a Medical Director, Behavioral Health to lead behavioral health policy and review. This role focuses on concurrent review, utilization review, and collaboration with Clinical Care Managers in a value-based care framework in California.

The ideal candidate has an MD/DO, completed Psychiatry residency, California license (multi-state license a plus), and ABPN/AOBNP board certification. Prior inpatient BH and SUD experience are preferred for effective leadership.

Qualifications

• MD/DO degree required, California license preferred; multi-state licensure may be required.
• ACGME psychiatry residency completed and board certified.
• Minimum 5 years of direct patient behavioral health care post-residency.
• Active California Medical License; other states may be required.
• Board Certification in Psychiatry (ABPN or AOBNP) required.
• Inpatient psychiatry experience within past 5 years preferred.
• Substance use disorder treatment experience preferred.
• Strong knowledge of MHPAEA, SB855, and regulatory requirements.
• Managed care/utilization management experience preferred.
• ASAM, LOCUS, CALOCUS knowledge preferred.

Skills

MD/DO degree

Psychiatry residency

5+ years BH care

CA Medical License

Board Certification Psychiatry

Inpatient psychiatry

SUD experience

MHPAEA knowledge

Managed care exp

ASAM LOCUS CALOCUS

Education

ACGME Psychiatry Residency

Job description

Blue Shield of California is seeking a Medical Director, Behavioral Health to lead behavioral health policy and review. This role focuses on concurrent review, utilization review, and collaboration with Clinical Care Managers in a value-based care framework in California.

The ideal candidate has an MD/DO, completed Psychiatry residency, California license (multi-state license a plus), and ABPN/AOBNP board certification. Prior inpatient BH and SUD experience are preferred for effective leadership.