Part-Time Behavioral Health Medical Director — Remote

Cambia Health; Lewiston (ID); Remote; USD 137,000 - 223,000; Part time

Benefits offered by this job

Work from home options

Job summary

Cambia Health is seeking an Associate Medical Director Behavioral Health or Utilization Management Medical Director to provide leadership and clinical oversight for behavioral health across lines of business. The role supports utilization management, policy development and collaboration with providers to improve outcomes.

This part-time, remote position allows work from home within OR, WA, ID or UT, with preference for Idaho/Utah residents and current employees.

Qualifications

• Licensed physician with MD or DO degree.
• Active, unrestricted medical license in 1+ states.
• Board certification in psychiatry (general or child) preferred; both preferred.
• Minimum 3 years clinical experience.
• 2 years health plan utilization management or case management.
• Willing to reside in one of four states.

Responsibilities

• Complete Behavioral Health utilization management reviews including PA, appeals and post-service.
• Develop and implement Behavioral Health policies and programs.
• Oversee operational policies for integrated behavioral health programs.
• Serve as subject matter expert on behavioral health and lead staff.
• Collaborate with leadership and providers to promote utilization management and quality improvement.
• Stay informed on industry trends and opportunities to reduce medical cost trend.

Skills

Clinical experience

Utilization management

Case management

Leadership

Communication

AI tools experience

Education

MD or DO degree

Job description

Cambia Health is seeking an Associate Medical Director Behavioral Health or Utilization Management Medical Director to provide leadership and clinical oversight for behavioral health across lines of business. The role supports utilization management, policy development and collaboration with providers to improve outcomes.

This part-time, remote position allows work from home within OR, WA, ID or UT, with preference for Idaho/Utah residents and current employees.