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At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
The Behavioral Health Medical Director provides clinical oversight and direction to the Clinical Department. He/she is the designated behavioral health care practitioner with oversight of the Quality Improvement (QI) program. The Behavioral Medical Director is an active participant in QI Committee meetings providing clinical consultation, and holds final authority for recommendations for medical necessity and appropriateness or quality of care decisions. The Behavioral Medical Director reviews and approves the Outcomes Management and Quality Improvement Plan. This position is responsible for providing consultation and determinations for clinical cases in need of review. The Behavioral Health Medical Director supports the clinical department in applying Medical Necessity Criteria, to render determinations to requests for specific intensity of service. In addition, the Behavioral Health Medical Director will assess clinical aspects of specific cases and provide feedback to Care Managers pertaining to best practice standards and quality of care issues. This position assists in the development of Medical Necessity Criteria and performs utilization management activities. Assures that organizational medical policies and procedures adhere to contractual obligations.
Education/ Experience:
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
Full Time
Insurance
$118k-158k (estimate)
05/11/2024
07/10/2024
amerihealthcaritasdc.com
WASHINGTON, DC
100 - 200
2012
FELICIA HUGEE
$10M - $50M
Insurance
The job skills required for Behavioral Health Medical Director include Social Work, Quality Improvement, Health Care, Managed Care, Utilization Management, Program Management, etc. Having related job skills and expertise will give you an advantage when applying to be a Behavioral Health Medical Director. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Behavioral Health Medical Director. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Behavioral Health Medical Director positions, which can be used as a reference in future career path planning. As a Behavioral Health Medical Director, it can be promoted into senior positions as a Top Behavioral Health Executive that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Behavioral Health Medical Director. You can explore the career advancement for a Behavioral Health Medical Director below and select your interested title to get hiring information.