Director of Behavioral Health Services

Join our dedicated team as the Director of Behavioral Health Services, where you will play a vital role in providing medical oversight and expert guidance in behavioral health and chemical dependency programs. You will be instrumental in implementing integrated behavioral health care initiatives across multiple markets, strategically enhancing our health services to deliver high-quality and cost-effective care for our members.

Key Responsibilities

• Lead and manage behavioral health and chemical dependency programs, collaborating with regional medical directors to standardize policies for utilization management, aiming to enhance quality outcomes while controlling costs.
• Facilitate regional medical necessity reviews concerning behavioral health matters.
• Work towards standardizing behavioral health utilization management, quality, and financial targets across all service areas.
• Respond to requests for proposals (RFPs) and evaluate state contract sections relevant to behavioral health.
• Assist in developing educational content on psychiatric diagnoses and treatments for medical directors and lead trainers.
• Conduct advanced clinical reviews, peer reviews, and handle appeals regarding behavioral health.
• Support quality compliance initiatives by engaging with behavioral health committees.
• Implement clinical practice guidelines and medical necessity review standards specifically tailored for behavioral health.
• Monitor clinical programs for compliance with NCQA and CMS standards related to behavioral health.
• Participate in the recruitment and onboarding process for new psychiatric medical directors.
• Ensure behavioral health programs and policies align with industry standards and established best practices.
• Support the launching of new behavioral health initiatives and assist in integrating health plan services.

Qualifications

• A minimum of 3 years of relevant experience, including at least 2 years in medical practice within psychiatry or behavioral health.
• MD or DO degree with an active, unrestricted medical license.
• Board Certification in Psychiatry.
• Strong knowledge of the national, state, and local regulations affecting clinical practice.
• Proven ability to collaborate effectively in a matrixed organizational environment.
• Exceptional organizational, time-management, and attention-to-detail skills.
• Strong critical-thinking, active listening, decision-making, and problem-solving abilities.
• Outstanding verbal and written communication skills.
• Proficient in Microsoft Office and adaptable to new software solutions.

Preferred Qualifications

• Experience in managing utilization and quality programs.
• Background in managed care.
• Familiarity with peer review processes.
• Healthcare management certifications are a plus.

If you are passionate about making a meaningful impact in the field of behavioral health, we encourage you to apply for this dynamic position. We offer a competitive benefits and compensation package that acknowledges and rewards your contributions. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $186,201.39 - $363,093 / ANNUAL. Actual compensation may vary based on geographic location, experience, education, and skill level.