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Medical Director - Behavioral Health

TEEMA Solutions Group

Houston (TX)

Remote

USD 270,000 - 300,000

Full time

3 days ago
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Job summary

A leading healthcare organization is seeking a Medical Director (Behavioral Health) to provide strategic clinical leadership and oversight across Medical Management programs. This role involves evaluating care quality, engaging with providers, and implementing improvements to ensure high-quality healthcare delivery. The position requires a strong background in medical management and a commitment to patient satisfaction.

Qualifications

  • Minimum 5 years of clinical medical practice experience.
  • 5+ years medical management experience in a Managed Care environment.

Responsibilities

  • Provide clinical oversight and strategic guidance for Medical Management programs.
  • Review clinical cases for quality, appropriateness of care, and medical necessity.
  • Collaborate with VA, TriWest staff, and provider networks.

Skills

Clinical Leadership
Quality Management
Utilization Management
Collaboration

Education

MD or DO from an LCME-accredited institution
Board Certification in Psychiatry

Job description

Job Title: Medical Director (Behavioral Health)

Salary Range: $270,000 - $300,000 Annual

Location: 100% Remote ONLY in the listed states (AK, AR, AZ, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NC, ND, NE, NM, NV, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY)

Schedule: The shift begins between 6 AM and 9 AM Arizona time; 40 hours/weekly (Mon - Fri, no weekend work required)

Job type: Temp to Perm.

Overview: As a Medical Director, you will provide strategic clinical leadership and oversight across our Medical Management programs. You’ll evaluate care quality, support peer reviews, engage directly with providers, and contribute to system-level improvements that ensure timely, appropriate, and high-quality healthcare delivery for veterans and other populations.

This role plays a key part in optimizing clinical practices using data, research, and provider collaboration while ensuring patient satisfaction remains at the forefront.

Key Responsibilities

Provide clinical oversight and strategic guidance for Medical Management programs

Review clinical cases for quality, appropriateness of care, and medical necessity

Lead and participate in internal and external quality/safety committee meetings

Facilitate peer-to-peer provider discussions and support care improvement initiatives

Develop and implement corrective action plans for identified quality issues

Provide consultation to nursing and clinical staff regarding complex clinical matters

Maintain up-to-date knowledge of clinical guidelines and emerging medical technologies

Collaborate with VA, TriWest staff, and provider networks to ensure excellent patient outcomes

Participate in direct beneficiary interactions to enhance satisfaction and engagement

Required Qualifications

MD or DO from an LCME-accredited institution

Board Certification in Psychiatry is required

Active, unrestricted license to practice medicine in the U.S.

Minimum 5 years of clinical medical practice experience

5+ years medical management experience in a Managed Care environment

Experience with utilization Management, Quality Management, Case Management, and Disease

Management

Preferred Qualifications

Experience with TRICARE, Veterans Affairs, or other government-sponsored health programs

Advanced degree or certificate in medical management

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