Remote Medical Director — Behavioral Health

CVS Health; Baton Rouge (LA); Remote; USD 174,000 - 375,000; Full time

Job summary

CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role in Louisiana. The role provides leadership for utilization management, high-risk case oversight, and quality improvement across behavioral health programs, collaborating with an interdisciplinary team.

The position requires a board-certified psychiatrist licensed in Louisiana (or eligible), with 5+ years of clinical practice and managed care experience.

Qualifications

• Board-certified psychiatrist licensed in Louisiana or eligible for licensure in Louisiana.
• Ability to obtain licenses across multiple states to provide UM coverage.
• Experience in managed care and utilization review or physician advisory roles.

Responsibilities

• Provide leadership and day-to-day physician oversight for utilization management and high-risk cases.
• Offer comprehensive behavioral health care management to improve quality and efficiency.
• Participate in appeals, investigate adverse events and quality concerns.
• Provide psychiatric leadership to an interdisciplinary team and medical policy guidance.
• Oversee medical necessity decisions across treatment levels and plan implementations.
• Develop and evaluate clinical/medical programs and policy guidelines.

Skills

Leadership

Clinical oversight

Utilization management

Medical policy interpretation

Interdisciplinary collaboration

Education

MD/DO

Job description

CVS Health is seeking a Medical Director (Behavioral Health) for a remote-based role in Louisiana. The role provides leadership for utilization management, high-risk case oversight, and quality improvement across behavioral health programs, collaborating with an interdisciplinary team.

The position requires a board-certified psychiatrist licensed in Louisiana (or eligible), with 5+ years of clinical practice and managed care experience.