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Behavioral Health Medical Director (Psychiatrist)
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- Behavioral Health Medical Director (Psychiatrist) page is loaded Behavioral Health Medical Director (Psychiatrist) Apply locations Remote Virginia time type Full time posted on Posted 5 Days Ago job requisition id R-330201 Become a part of our caring community and help us put health first
- They will collaborate closely with the Associate VP, Clinical Services, the Director, BH & Addictions and Recovery Treatment Services (ARTS), and the Chief Medical Officer (CMO) to integrate the day‐to‐day administration and strategic management of behavioral and physical health services, including Care Management (CM), Utilization Management (UM), Quality Improvement, and value‐based payment programs.
- The Behavioral Health Director will be based in Virginia and will also lead the development of new products and services in Humana’s Medicaid BH delivery model.
- Oversees, monitors, and assists with the management of psychopharmacology pharmacy benefits manager (PBM) activities, including the establishment of prior authorization, clinical appropriateness of use, and step therapy requirements for the use of stimulants and antipsychotics for all Members; consultations and clinical guidance for contracted primary care Providers (PCPs) treating behavioral health‐related concerns not requiring referral to behavioral health specialists.
- Oversees, monitors, and assists with effective implementation of the Quality Management (QM) program; and works closely with the Care Management (CM), ARTS, Utilization Management (UM) of services and associated appeals related to children and youth and adults with mental illness and/or SUD.
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