Behavioral Health Medical Director Associate
Company: Cambia Health Solutions
Posted on: January 17, 2020
Associate Medical Director Behavioral Health
Portland, OR; Seattle, WA; Tacoma, WA
At Cambia, our values are fundamental to achieving our Cause of
transforming the health care industry. They guide our actions and
bring diverse perspectives together to improve the health care
journey better for those we serve. All eight values are equally
important and linked to the others: Empathy, Hope, Courage, Trust,
Commitment, Innovation, and Accountability. These values are not
just words on paper - we live them every day.
RESPONSIBILITIES & REQUIREMENTS
As the Behavioral Health Associate Medical Director, you will
appliy medical expertise to help ensure our members receive
quality, cost effective clinical care. You will support development
and communication of medical policies and clinical programs and
work with clinical staff on case management reviews and provide
peer-to-peer consultations with providers. May participate on
clinical project teams.
* Provides clinical consulting to staff on behavioral health member
cases and broader behavioral health trends to ensure members
receive quality, cost effective care.
* Conducts high-quality member case reviews and peer-to-peer
consultations with providers.
* Communicates with a variety of internal or external stakeholders
to promote understanding of care management, utilization management
and quality programs.
* Participates on various teams to provide clinical input on
medical policy reviews and development and may participate on
committees that develop programs impacting clinical interventions,
utilization management and case management.
* Stays abreast of industry, medical and technology trends.
Identifies and communicates new opportunities that would enhance
outcomes and the reputation of the organization.
* Solid understanding of behavioral health continuum of care,
treatment protocols, and evidence-based standards for both mental
health and substance use disorders.
* Demonstrated competency working with hospitals, provider groups,
or integrated delivery systems to effectively manage patient care
to improve outcomes.
* Passion for population health and healthcare transformation.
* Strong communication, influencing and facilitation skills with
internal staff and external stakeholders, including the ability to
resolve issues and seek optimal outcomes.
* General knowledge of the health insurance industry, state and
federal regulations, provider reimbursement methods and evolving
accountable care and payment models.
* Detail-oriented with orientation to the application of data in
managing health and quality outcomes. Ability to effectively
utilize systems and technology.
* Demonstrated ability to effectively build relationships,
demonstrate empathy and work as part of a team.
Normally to be proficient in the competencies listed above:
* The Associate Medical Director would have a MD or DO degree, at
least 3 years clinical experience, or equivalent combination of
education and experience.
* Currently licensed as a Psychiatrist in one or more of the 50
* Board-certification by the American Board of Psychiatry &
Neurology in General Psychiatry.
* Strong preference for completion of Child & Adolescent Psychiatry
Fellowship and/or Addiction Psychiatry Fellowship.
* Qualification by training and experience to render clinical
opinions about medical conditions, procedures, and treatments under
Regence employees are part of the larger Cambia family of
companies, which seeks to drive innovative health solutions. We
offer a competitive salary and a generous benefits package. We are
an equal opportunity employer dedicated to workforce diversity and
a drug and tobacco-free workplace. All qualified applicants will
receive consideration for employment without regard to race, color,
national origin, religion, age, sex, sexual orientation, gender
identity, disability, protected veteran status or any other status
protected by law. A drug screen and background check is
Regence is 2.2 million members, here for our families, co-workers
and neighbors, helping each other be and stay healthy and provide
support in time of need. We've been here for members more than 100
years. Regence is a nonprofit health care company offering
individual and group medical, dental, vision and life insurance,
Medicare and other government programs as well as pharmacy benefit
management. We are the largest health insurer in the
Northwest/Intermountain Region, serving members as Regence
BlueShield of Idaho, Regence BlueCross BlueShield of Oregon,
Regence BlueCross BlueShield of Utah and Regence BlueShield (in
Washington). Each plan is an independent licensee of the Blue Cross
and Blue Shield Association.
If you re seeking a career that affects change in the health care
system, consider joining our team at Cambia Health Solutions. We
advocate for transforming the health care system by making health
care more affordable and accessible, increasing consumers
engagement in their health care decisions, and offering a diverse
range of products and services that promote the health and
well-being of our members. Cambia's portfolio of companies spans
health care information technology and software development; retail
health care; health insurance plans that carry the Blue Cross and
Blue Shield brands; pharmacy benefit management; life, disability,
dental, vision and other lines of protection; alternative solutions
to health care access and free-standing health and wellness
Keywords: Cambia Health Solutions, Portland , Behavioral Health Medical Director Associate, Healthcare , Portland, Oregon
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