Medical Director-Psychiatry

📋 Description

• Conduct comprehensive prospective, concurrent, and retrospective reviews across a broad range of
• Perform thorough prior authorization reviews to ensure decisions align with clinical criteria
• Lead peer-to-peer discussions with requesting practitioners, communicate clinical rationales
• Issue medical necessity denials when warranted, providing thorough and well-documented rationales
• Work closely with Nurse Practitioners, Care Coordinators, and Operations teams to strengthen
• Contribute to the creation, review, and revision of medical policies, clinical guidelines, and

🎯 Requirements

• Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree from an accredited medical
• Board certification in Psychiatry.
• Active and unrestricted medical license in at least one U.S. state, with the ability to obtain
• Minimum of 5 years of clinical practice experience.
• Minimum of 2–3 years of experience in utilization management, medical review, or prior
• Demonstrated experience conducting peer-to-peer discussions with external practitioners.

🎁 Benefits

• Salary: Annual compensation ranging from $260,000 to $280,000.
• Medical Coverage: 100% employer-paid medical premiums for employees and 50% coverage for dependents
• Healthcare Access: $0 copays and $0 deductibles upon completion of the Baseline Visit.
• Preventive and Primary Care: Integrated preventive and primary healthcare services.
• Mental Health Support: Access to mental health resources.
• Care Navigation: One-on-one care navigation support.