VP Medical Director in Atlanta, GA at Beacon Health Options

Date Posted: 7/22/2018

Job Snapshot

Job Description

About the Position:

The VP, Medical Director serves as the Chief Medical Officer for the Georgia Collaborative ASO to ensure access and delivery of cost-effective, quality care and service to individuals. 

Position Responsibilities:

  • Directs and oversees the development and ongoing medical management of the Medical Affairs Department. Serves as the principal medical resource for all components of the behavioral health and IDD programs including GCAL, program design, network management, member services, quality management, clinical operations, utilization management, and provider relations.
  • Develops organizational, human resource, budget, and other resource allocation needs for the Medical Affairs Department. Establishes a plan of departmental organization, ongoing reporting, performance indicators, and measurement systems.
  • In conjunction with key State staff, establishes medical management goals and objectives to support program priorities and strategic objectives. Keeps Beacon Health Options and DBHDD management informed and updated on programmatic, medical utilization, and administrative performance.
  • Develops an effective, collaborative relationship with key State agencies. Establishes communication, reporting and accountability processes to ensure the effective and efficient flow of information and organizational performance.
  • Works closely with DBHDD’s medical management staff on the development, communication, and training on clinical policies and procedures, quality improvement initiatives, medical protocols, and utilization management priorities.
  • Provides and maintains adequate physician coverage to provide oversight of the Medical Affairs Department, review clinical complaints and critical incidences, provider appeals, review and approval of denials, and the provision of clinical/medical consultation to care managers.
  • Educates network providers about State behavioral health and IDD policies and procedures. Works with clinical staff to identify providers whose utilization and/or practice patterns are aberrant and participates in developing and communicating corrective action plans.
  • Assists in the formulations of clinical utilization and costs forecasts. Monitors and executes controls to meet budgeted targets.
  • Recruits, trains, supervises, and appraises assigned staff. Provides leadership and technical assistance to functional managers on key initiatives, new program developments, and regulatory developments.

Position Requirements:

  • Education: M.D. or D.O. degree from an accredited medical school. Board certified in psychiatry as defined by the American Board of Psychiatrists and Neurology required.
  • Licensures: Active, unencumbered Georgia license to practice medicine
  • Relevant Work Experience: At least five years of clinical practice and board certification. Three years direct managed care experience, preferably in behavioral health. Experience at a mental health facility with inpatient and outpatient care required.

To Apply:

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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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