MD Behavioral Health Psychiatry

Ladders

United States

Remote

USD 214,000 - 298,000

Full time

41 hours ago
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Benefits offered by this job

Comprehensive health benefits
Retirement plans
Generous PTO
Incentive plans
Wellness programs
Paid volunteer time off
Tuition reimbursement

Job summary

Ladders is seeking an MD/DO Behavioral Health Psychiatry leader for a remote role in the Finance & Insurance sector. You will contribute medical expertise to behavioral health delivery, guide pre-authorization and case management, and influence care management decisions across teams.

The role focuses on utilization management, medical policy interpretation, and collaboration with clinician reviewers to strengthen clinical decision-making and operational effectiveness.

Qualifications

  • MD/DO board certification with unrestricted license in primary care specialties.
  • Completion of Psychiatry residency and Child/Adolescent Psychiatry Fellowship for Child Psychiatrist role.
  • Knowledge of Utilization Management principles and URAC Health UM Standards.

Responsibilities

  • Provide medical expertise in behavioral health delivery systems and treatment protocols.
  • Guide clinicians on pre-authorization and case management decisions.
  • Consult on medical necessity and appropriateness issues for behavioral health cases.
  • Participate in planning and managing complex cases and communicate plans to providers.
  • Interpret medical policy and assist with policy assessments and recommendations.
  • Analyze data to identify utilization trends and issues.
  • Participate in internal or external committees as assigned.

Skills

Utilization management
Data analysis
Clinical decision making
Policy interpretation
Team collaboration
Pre-authorization

Education

MD/DO board-certified
Psychiatry residency
Child & Adolescent Psychiatry Fellowship
Child Psychology Board eligibility

Job description

For our client, we are seeking a MD Behavioral Health Psychiatry to join the team of a leader in the Finance & Insurance space.

This remote role will provide medical expertise in behavioral health delivery systems and treatment protocols, with a strong focus on utilization management and case oversight. The physician will partner with clinician reviewers and other internal stakeholders to guide pre-authorization, medical necessity, and care management decisions. This position also supports policy interpretation, trend analysis, and committee participation to help strengthen clinical decision-making and operational effectiveness.

Location: Remote

Compensation: $214,100 – $297,885 annually

Responsibilities
  • Provide medical expertise in health care delivery systems and treatment protocols for behavioral health
  • Guide clinician reviewers on pre-authorization and case management decisions
  • Consult on medical necessity and appropriateness issues for behavioral health cases
  • Participate in planning and managing complex cases, and communicate plans to providers
  • Interpret medical policy and assist with policy assessments and recommendations
  • Analyze data to identify trends and issues in utilization management
  • Participate in internal or external committees as assigned
Qualifications
  • Board certification as an MD or DO with an unrestricted license in primary care specialties
  • Minimum of five years of clinical experience and three years in medical management within a managed care setting
  • Completion of an approved residency in Psychiatry and an accredited Child and Adolescent Psychiatry Fellowship for the Child Psychiatrist role
  • Child Psychology Board eligible by start date for the Child Psychiatrist role
  • Knowledge of Utilization Management principles and URAC Health UM Standards
Benefits
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement plans
  • Generous PTO
  • Incentive plans
  • Wellness programs
  • Paid volunteer time off
  • Tuition reimbursement

Our client is an equal opportunity employer. We encourage you to apply even if you don’t meet every qualification—your background could be exactly what this team needs.

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