Behavioral Health Medical Director – Psychiatrist – California Medicaid (Part-Time)
Core
Oversee California Medicaid behavioral health services, focusing on utilization management reviews across all levels of care and serving as a clinical advisor.
Role type
Senior IC behavioral health medical director (psychiatrist)
Builds
Utilization management decisions and clinical policies for California Medicaid members
Domain
US Healthcare / Behavioral Health / Medicaid
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Utilization management, clinical policy interpretation, peer-to-peer clinical reviews, program operational guidance, committee leadership, medical policy development
Preferred skills
Child and Adolescent Psychiatry board certification, Addiction Psychiatry/Medicine board certification
Technologies
None stated
Responsibilities
Conduct utilization management reviews, interpret medical policies and clinical guidelines, lead clinical and non-clinical activities impacting quality and cost, serve as a resource for other areas, represent the company to external entities
Seniority
Director level, hands-on clinical leadership