Behavioral Health Medical Director – Psychiatrist – Florida Medicaid
Core
Medical Director leading behavioral health utilization management, conducting peer-to-peer clinical reviews, and providing psychiatric consultation for Florida Medicaid members.
Role type
Director-level licensed physician (Psychiatrist)
Builds
Utilization management decisions and care management strategies for Medicaid members
Domain
Healthcare / Behavioral Health / Insurance
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical expertise in behavioral health, Utilization Management experience, Medical policy interpretation, Clinical rounds leadership, Peer-to-peer review facilitation, Program operational guidance
Preferred skills
Child and Adolescent board certification, Prior Utilization Management experience
Technologies
None stated
Responsibilities
Conduct peer-to-peer clinical reviews with attending physicians; Interpret medical policies and clinical guidelines; Lead clinical and non-clinical activities impacting healthcare quality and cost; Provide psychiatric consultation to external providers and internal staff; Develop and propose new medical policies based on healthcare changes
Seniority
Director, hands-on leadership