CVS Health Behavioral Health Medical Director Topeka, Kansas Apply Now
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.
Job Purpose and Summary:
Develop, implement, support, and promote Health Services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for Aetna.
Primary Job Duties & Responsibilities:
- Collaborates with health plan Sr Leadership to identify, develop, implement, and evaluate the effectiveness of strategic initiatives.
- Ensures timely medical decisions, including after-hours consultation as needed.
- Leads all major clinical, population health management, and quality improvement components of the aligned plan.
- Develops, implements and interprets medical policies and procedures.
- Leads the administration of all medical management activities.
- Monitors the overall safety of members with complex and/or comorbid medical conditions.
- Coordinates with care management staff and providers on medical services.
- Serves as a key clinical lead in developing and implementing evidence-based clinical policies and practices.
- Participates in regulatory/accreditation reviews.
- Works with clinical leadership for integration of all healthcare needs and services.
Position Description:
Aetna Medicare Duals Center of Excellence is searching for a board-certified adult psychiatrist with at least five years’ experience in mental health and substance use disorder services for this work-from-home position.
The Medical Director will be responsible for provider education regarding best clinical practices, utilization management, care management, claims adjudication, pharmacy utilization, quality improvement, grievance and appeals, policies and procedures, and responsible health care expenditure to improve clinical outcomes.
Required Qualifications:
- Five (5) or more years of experience in Behavioral Health in the healthcare delivery system.
- Three (3) or more years of experience in Managed Care.
- Board Certification in ABMS recognized specialty of Adult Psychiatry.
- Active and current state medical license without encumbrances.
- M.D. or D.O.
- Strong strategic thinking and collaborative skills.
- Ability to analyze data and create action plans.
- Strong communication skills both written and verbal.
CVS Health is an equal opportunity/affirmative action employer. We comply with the laws and regulations set forth in the following EEO is the Law Poster.
Pay Range:
The typical pay range for this role is: $174,070.00 - $374,900.00.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits.
We anticipate the application window for this opening will close on: 08/30/2024.
We are an equal opportunity and affirmative action employer.
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