Remote Behavioral Health Medical Director - TX Licensed

Istss; Texas; À distance; USD 174 000 - 375 000; Plein temps

Avantages offerts par ce poste

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Résumé du poste

CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role with preference for Texas residents. The leader will provide physician oversight for utilization management and guide high-risk cases and medical necessity decisions.

The ideal candidate is a board-certified psychiatrist licensed in Texas with 5+ years in healthcare delivery, plus managed care experience and a track record in quality improvement and policy development.

Qualifications

• Board-certified psychiatrist licensed in Texas or eligible for Texas licensure.
• Active medical license without encumbrances; ability to obtain licenses in other states.
• Ability to obtain multiple state licenses to provide UM coverage across health plans.
• Experience with managed care and utilization review is preferred.

Responsabilités

• Provide leadership and day-to-day physician oversight for utilization management.
• Deliver comprehensive behavioral health care management to improve quality and efficiency.
• Participate in appeals, adverse events and quality-of-care investigations.
• Provide psychiatric leadership to an interdisciplinary utilization management team.
• Oversee treatment decisions and medical necessity criteria across levels of care.
• Develop and implement medical policies and clinical practice guidelines.

Connaissances

Behavioral health

Psychiatry

Utilization review

Leadership

Clinical oversight

Formation

MD/DO

Outils

EMR systems

Description du poste

CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role with preference for Texas residents. The leader will provide physician oversight for utilization management and guide high-risk cases and medical necessity decisions.

The ideal candidate is a board-certified psychiatrist licensed in Texas with 5+ years in healthcare delivery, plus managed care experience and a track record in quality improvement and policy development.