Remote Behavioral Health Medical Director UM

Metaintro, Inc.; Florida; Remote; USD 207,000 - 234,000; Part time

Job summary

Molina is hiring a 1099 Behavioral Health Physician (MD/DO) to provide non-clinical utilization management services for behavioral health. The role requires at least 20 hours of availability, is remote, and involves initial and concurrent medical necessity reviews, peer-to-peer reviews, and first- and second-level appeals with documentation and quality improvement participation.

Compensation includes $50-$57 per case for utilization management and $150-$170 per hour for mandatory trainings and

Qualifications

• Board-certified Psychiatry physician required.
• Active unrestricted medical license in applicable state(s).
• Behavioral health utilization management experience preferred.

Responsibilities

• Provide non-clinical utilization management services for behavioral health.
• Conduct initial and concurrent medical necessity reviews.
• Perform peer-to-peer reviews and contribute to first- and second-level appeals.

Skills

Medical necessity

Peer-to-peer reviews

Appeals

MHPAEA

NCQA/CMS

HIPAA

Education

MD/DO with Psychiatry board certification

Job description

Molina is hiring a 1099 Behavioral Health Physician (MD/DO) to provide non-clinical utilization management services for behavioral health. The role requires at least 20 hours of availability, is remote, and involves initial and concurrent medical necessity reviews, peer-to-peer reviews, and first- and second-level appeals with documentation and quality improvement participation.

Compensation includes $50-$57 per case for utilization management and $150-$170 per hour for mandatory trainings and