Molina Behavioral Health is seeking a board-certified General Psychiatry physician to provide psychiatric expertise for utilization- and case-management programs for mental health and chemical dependency services. In this role, you will assist the Senior Behavioral Health Medical Director in implementing integrated Behavioral Health care management programs. You will work closely with other Washington plans and National Medical Directors to develop standardized utilization management policies and procedures, which will be implemented enterprise-wide and will improve quality outcomes and decrease costs.
Doctorate Degree in Medicine (MD or DO)
Board certification in General Adult Psychiatry
Preferred board-certification in Addiction Psychiatry
Active and unrestricted State Medical License, free of sanctions from Medicaid or Medicare
3+ years clinical practice
Demonstrated skills in communication, consensus building and collaborative ability
Washington State medical license (or willingness and ability to obtain WA license promptly)
Previous experience as a Medical Director in an HMO/Health Plan
Previous experience in Utilization Management and peer reviews
Previous experience in leadership roles in a clinical care organization
Knowledge of applicable state, federal and third-party regulations
Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines
Open to individual working remotely
Where You'll Work
Molina Healthcare partners with a large network of independent providers in hospitals and clinics across the country to provide low-income, uninsured individuals access to personalized and affordable care. Providers join the Molina network because they know Molina's health plans will care for their patients today and into the future. Molina care partners strive to treat all patients the same way they would want their own families treated.
Where You'll Live
Bothell is a popular suburb about 20 miles northeast of Seattle across beautiful Lake Washington. Numerous parks, lakes, rivers and mountain trails provide easy access to outdoor recreation, while art centers, galleries, restaurants and wineries provide plentiful entertainment options. With a population of 44,000, Bothell offers a quiet alternative to the urban center of Seattle, while being close enough to easily enjoy all the big city has to offer.
Who You'll Work For
Molina Healthcare is a Fortune 500 company providing managed health care services under the Medicaid and Medicare programs and through the state insurance marketplaces. It contracts with state governments, serving as a health plan for 3.4 million members in 14 states and Puerto Rico. Headquartered in Long Beach, California, Molina has been operating for 35 years with a mission of delivering quality health care to people receiving government assistance and keeping members' out-of-pocket expenses to a minimum.
Job ID Number: 11537
Facility Name: Molina Healthcare
Location Name: Bothell, WA
Brand Name: Molina Healthcare
Provider Profession: Physician/Surgeon
Medical Specialty: Psychiatry
Medical Specialty: Psychology
Job Setting: Hospital
Type of Role: Medical Director
Sub-specialty: Addiction Medicine
Phone Number: (503) 203-0769
Schedule: Full Time
Let's get in touch
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