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Associate Medical Director in Seven Fields, PA at Beacon Health Options

Date Posted: 12/2/2018

Job Snapshot

Job Description

About the Position:

We are currently seeking a dynamic Associate Medical Director to join our team at our office in Cranberry, PA!  The Associate Medical Director assists the Medical Director in providing quality, cost-effective utilization management for mental health and alcohol/drug rehabilitation, through the use of the care authorization and utilization management processes for mental health and drug/alcohol rehabilitation services.

Position Responsibilities:

  • Assists in the development, implementation, and evaluation of utilization management policies and procedures to support medical management objectives.
  • Educates peer physicians and Care Managers about utilization management policies and procedures. Works with medical/clinical staff on outlier management issues and corrective actions.
  • Assists in developing and evaluating the collection and analysis of data and formulation of clinical utilization.
  • Provides medical leadership to the clinical provider network and clinical and Intensive Case Management staff.
  • May assist in and coordinates the development and design of performance standards, clinical policies and procedures, and utilization management clinical criteria.
  • Assists in monitoring and ensuring compliance with state and federal regulatory requirements as they relate to access and medical care issues.
  • Participates in after-hours coverage as required by the Engagement Center.

Position Requirements:

  • Education: M.D. or D.O. degree from an accredited medical school, with Board certification in Psychiatry by the American Board of Psychiatrists and Neurology required.
  • Licensure:  Current, valid, unrestricted Active Medical License in Pennsylvania required.
  • Relevant Work Experience: 5 years of clinical practice in mental health required.
  • Knowledge, Skills & Abilities:
    • Experience at a mental health facility with inpatient and outpatient care is preferred.
    • Familiarity with medical care delivery systems, and experience with utilization management, quality improvement, and peer review is preferred. 
    • Knowledge, experience, and demonstrated success in medical/clinical management operations in a managed care environment is preferred.
    • Demonstrates skills suitable to working with contracts, provider relations, and member services and interpreting benefits.
    • Excellent written and oral communication organizational skills.
    • Detail orientated, able to work independently in an ever changing environment.
    • Proficient in MS Office Word, Excel, Project, and Outlook

To Apply:

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

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