Job Description
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Associate Behavioral Health Medical Director based in the United States.
This role plays a key part in supporting behavioral health clinical excellence across a managed care environment.
It involves providing medical oversight, clinical consultation, and peer-to-peer engagement with providers.
You will conduct utilization reviews, prior authorization determinations, and clinical appeals.
The position also contributes to policy development, quality improvement, and regulatory compliance activities.
You will participate in evaluating complex behavioral health cases, including fraud, abuse, and quality concerns.
This is a highly collaborative role working across clinical, operational, and regulatory teams.
It offers the opportunity to influence care delivery standards while supporting members and providers at scale.
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Associate Behavioral Health Medical Director based in the United States.
This role plays a key part in supporting behavioral health clinical excellence across a managed care environment.
It involves providing medical oversight, clinical consultation, and peer-to-peer engagement with providers.
You will conduct utilization reviews, prior authorization determinations, and clinical appeals.
The position also contributes to policy development, quality improvement, and regulatory compliance activities.
You will participate in evaluating complex behavioral health cases, including fraud, abuse, and quality concerns.
This is a highly collaborative role working across clinical, operational, and regulatory teams.
It offers the opportunity to influence care delivery standards while supporting members and providers at scale.
