Full-Time
Psychiatrist Medical Director
Direct Staffing
No salary listed
New Orleans, LA, USA
In Person
Relocation assistance available; Louisiana candidates preferred; willing to relocate and obtain Louisiana medical license.
Category
 Medical, Clinical & Veterinary (1) |
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Required Skills
Data Analysis
Requirements
- Requires M.D. or D.O.
Responsibilities
- Interprets existing policies and assists in developing new policies based on changes in the healthcare or medical arena.
- Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
- Identifies and develops opportunities for innovation to increase effectiveness and quality.
- Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent us to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance to staff for clinical operational aspects of the program.
- Interacts with the physical health medical directors to improve health care quality and provide behavioral health consultation and direction.
- Supports the medical management staff ensuring timely and consistent responses to members and providers.
- Interacts with providers, members receiving services, advocate and consumer groups and other MCO behavioral health medical directors in representing the company's philosophy and values.
- Becomes actively engaged in meetings with the state customer providing oversight for the Managed Medicaid program.
- Is comfortable with and knowledgeable about NCQA accreditation, specifically HEDIS measures and understands the need to constantly improve these values within health plan to achieve established targets.
- Understands and uses data analysis for quality improvement, care management and utilization management and in shaping provider behavior.
Desired Qualifications
- Managed care or behavioral health contractor (Magellan) preferred
- General psychiatrist experience, clinical, leadership or practice/clinical setting experience
- Local candidates from Louisiana (New Orleans/Metarie) preferred
- Willingness to relocate and apply for a medical license in Louisiana
- Experience with Centene, United, Aetna, Magellan, Private practices (as ideal candidates should have worked for)