Remote Associate Medical Director Behavioral Health and UM

Cambia Health

Fargo (ND)

Remote

USD 137,000 - 223,000

Part time

10 days ago

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Benefits offered by this job

Work from home options
High-impact role

Job summary

Cambia Health is seeking an Associate Medical Director BH/UM to provide clinical leadership across behavioral health utilization management. This part-time, remote role supports multiple states and emphasizes peer reviews, policy development, and collaboration with providers to improve outcomes.

The position requires an MD/DO, board certification in psychiatry, and a minimum of 3 years of clinical and UM experience.

Qualifications

  • Active, unrestricted medical license in one or more states.
  • Board certification in general psychiatry or child psychiatry; dual certification preferred.
  • Minimum 3 years clinical experience.
  • Experience in health plan utilization management or case management.
  • Must reside in ID, OR, UT, or WA.

Responsibilities

  • Oversee behavioral health utilization management reviews, including prior authorizations and appeals.
  • Develop and implement behavioral health policies and programs.
  • Lead operational policies and monitor utilization and outcomes.
  • Serve as clinical SME and provide leadership to staff.
  • Collaborate with executive leadership and providers to improve UM.
  • Stay abreast of industry trends and opportunities.

Skills

Behavioral health leadership
Communication
Data-driven
AI tools
Team collaboration

Education

MD/DO

Tools

AI platforms
Utilization management systems

Job description

Cambia Health is seeking an Associate Medical Director BH/UM to provide clinical leadership across behavioral health utilization management. This part-time, remote role supports multiple states and emphasizes peer reviews, policy development, and collaboration with providers to improve outcomes.

The position requires an MD/DO, board certification in psychiatry, and a minimum of 3 years of clinical and UM experience.

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