Remote Behavioral Health Medical Director - UM Lead

Cambia Health; Bend (OR); Remote; USD 137,000 - 223,000; Part time

Benefits offered by this job

Remote work options

Job summary

Cambia Health is seeking an Associate Medical Director for Behavioral Health and Utilization Management. This role provides clinical leadership and oversight across all lines of business, focusing on behavioral health utilization management and policy development.

It involves collaboration with leadership and external providers to ensure high-quality, cost-efficient services. The position offers remote work within multiple western states, minimum 3 years of clinical experience, and strong

Qualifications

• Licensed physician with an MD or DO degree.
• Active, unrestricted license to practice medicine in 1 of 4 states.
• Board Certification in general psychiatry or child psychiatry; preference for both.
• 3+ years clinical experience.
• 2 years health plan medical utilization management or case management experience.

Responsibilities

• Oversees behavioral health utilization management reviews (PA, appeals, post-service).
• Develops and implements behavioral health policies and programs.
• Leads operational policies and monitors utilization and results.
• Serves as subject matter expert on behavioral health for staff and providers.

Skills

Medical leadership

Behavioral health

Education

MD or DO

Job description

Cambia Health is seeking an Associate Medical Director for Behavioral Health and Utilization Management. This role provides clinical leadership and oversight across all lines of business, focusing on behavioral health utilization management and policy development.

It involves collaboration with leadership and external providers to ensure high-quality, cost-efficient services. The position offers remote work within multiple western states, minimum 3 years of clinical experience, and strong