Remote Behavioral Health Medical Director Texas

Voices for Voices; Texas; Remote; USD 174,000 - 375,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health seeks a Medical Director (Behavioral Health) to lead utilization management with a focus on high-risk cases and medical necessity decisions. The role is remote-based with a preference for candidates residing in Texas and requires Texas licensure or eligibility.

The position emphasizes psychiatric leadership, collaboration across an interdisciplinary team, and ongoing program development to improve care quality and efficiency. Competitive pay and comprehensive benefits are included.

Qualifications

• Board-certified psychiatrist licensed in Texas or eligible.
• Active and current state medical license without encumbrances.
• Ability to obtain licenses across multiple states for UM coverage across plans.

Responsibilities

• Provide leadership and day-to-day physician oversight for utilization management team, including high-risk cases and medical necessity decisions.
• Provide comprehensive behavioral health care management to facilitate delivery of quality care and program efficiency.
• Participate in the appeals process and investigations of adverse events and quality of care concerns.
• Provide psychiatric leadership to an interdisciplinary utilization management team.
• Oversee day-to-day physician oversight including high-risk case management across treatment levels.
• Assist with development and evaluation of the utilization management program and medical policy.

Skills

Board-certified Psychiatrist

Texas license or eligible

UM experience

Clinical leadership

Cross-state licensing

Education

MD or DO

Job description

CVS Health seeks a Medical Director (Behavioral Health) to lead utilization management with a focus on high-risk cases and medical necessity decisions. The role is remote-based with a preference for candidates residing in Texas and requires Texas licensure or eligibility.

The position emphasizes psychiatric leadership, collaboration across an interdisciplinary team, and ongoing program development to improve care quality and efficiency. Competitive pay and comprehensive benefits are included.