Psychiatrist - Medicaid Utilization & Quality Lead

Acentra Health, LLC; Little Rock (AR); Hybrid; USD 207,000 - 259,000; Full time

Job summary

Acentra Health in Little Rock, Arkansas is seeking a Board-certified or board-eligible Psychiatrist to join our team on a full-time basis, providing clinical leadership for behavioral health within Arkansas Medicaid programs. You will collaborate with state agencies and providers to evaluate medical necessity and support care decisions.

The role is based onsite at the Arkansas DHS office, with limited remote work and up to 10% travel; employment is contingent on contract award.

Qualifications

• Board-certified or board-eligible Psychiatrist with an active, unrestricted license to practice medicine in Arkansas.
• 2+ years of clinical practice experience in Arkansas within the past 5 years.

Responsibilities

• Serve as the psychiatric subject matter expert for behavioral health services.
• Provide clinical leadership for PASSE performance improvement plans and quality measures.
• Consult on mental health and substance use disorder service development and adolescent psychotropic medication monitoring.
• Conduct and document peer-to-peer physician consultations to evaluate medical necessity.
• Provide clinical expertise in developing program goals, policies, and clinical improvement plans.
• Represent the organization in state appeal processes, providing psychiatric expertise and clinical recommendations as needed.
• Review and analyze medical information, clinical trends, and program outcomes to identify opportunities for quality and service improvements.
• Ensure compliance with applicable regulatory and accreditation requirements while staying informed of federal, state, and local healthcare regulations and legislation.
• Represent the organization at professional conferences, seminars, medical staff meetings, and other relevant professional forums.
• Conduct clinical assessments of psychological, emotional, behavioral, and physical functioning to support psychiatric diagnoses and appropriate level of care recommendations.
• Read, understand, and adhere to all corporate policies, including HIPAA policies.

Skills

Interpersonal communication

Clinical leadership

Regulatory compliance

Medical decision making

Tools

Microsoft Office

Job description

Acentra Health in Little Rock, Arkansas is seeking a Board-certified or board-eligible Psychiatrist to join our team on a full-time basis, providing clinical leadership for behavioral health within Arkansas Medicaid programs. You will collaborate with state agencies and providers to evaluate medical necessity and support care decisions.

The role is based onsite at the Arkansas DHS office, with limited remote work and up to 10% travel; employment is contingent on contract award.