Medical Director Substance Abuse Disorder Behavioral Health
7 days ago
The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire.
Candidates must be a Board Certified in Addiction Medicine in New Hampshire.
We’re looking for the next generation of health care leaders.
At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. Together we can build healthier communities. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
The Medical Director, Substance Use Disorder and Behavioral Health (Med. SUD/BH) provides organizational leadership and clinical oversight and direction for the substance use disorder (SUD) and behavioral health (BH) components of the Medical Management Programs. At the request of BHM, this position will provide local physician review of SUD and BH treatment requests. SUD/BH will report to the Market President and work closely with the Chief Medical Officer, Director of Population Health, and appropriate staff to ensure that AmeriHealth Caritas New Hampshire’s substance use disorder and behavioral health care management, utilization management and quality management programs comply with the terms of the State contract requirements and are supported by evidence-based practices.
Identifying and implementing evidence-based practice guidelines throughout the provider network.
Overseeing the quality of clinical care for network and non-network providers.
Engaging the provider network in Continuous Quality Improvement through the diffusion of practice standards, and through an internal quality assurance program that measures network provider performance against standards of high quality, especially the performance standards embodied in the HEDIS program.
Reviewing and resolving disputes related to the quality of care.
Assuring a high-performing Utilization Management system that adheres to the coverage terms and requirements of the contract. Serve as the primary external subject matter expert for ACNH for SUD and BH, including working with regulators, legislators, community organizations and providers.
Lead the development and implementation of contractually required clinical programs, such as emergency room boarding of members with a behavioral health treatment need.
Ensure the provision of quality and clinically sound SUD and BH services to all Members by associates and Providers.
Assures that organization policies and procedures adhere to contractual obligations.
Performs clinical case reviews in conjunction with Medical Management Department.
Maintains familiarity with federal, state and local regulations that may pertain to the medical and clinical operations.
Participate in Complaint and Grievance processes related to service denials and clinical practices.
Participate with Quality Improvement and Medical Management in the identification and analysis of clinical information in order to develop interventions to improve effectiveness of ACNH SUD and BH programs.
Champion continued integration of SUD and BH with medical programs to improve integration of BH and SUD in the primary care environment.
Adhere to AmeriHealth Family of Companies (ACFC) policies and procedures; Perform other related duties and projects as assigned.
Valid NH medical license; board certification in psychiatry and addiction psychiatry preferred.
Must have unrestricted licensed to practice in the state(s) assigned as a medical director/doctor and recognized by the proper licensing authority.
Must be clear of any sanctions by the applicable state or Office of the Inspector General.
Must not be prohibited from participating in any Federally or State funded healthcare programs.
#Diversity, Equity, and Inclusion
Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
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Medical Director
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Manchester, New Hampshire, United States AmeriHealth Caritas Full timeJob SummaryThe Medical Director - Substance Abuse Disorder Behavioral Health will provide strategic leadership and clinical oversight for the substance use disorder and behavioral health components of the Medical Management Programs at AmeriHealth Caritas. This role will be responsible for designing programs in compliance with federal and state laws and...
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Manchester, New Hampshire, United States AmeriHealth Caritas Full timeAbout the RoleAmeriHealth Caritas is seeking a highly skilled and experienced Medical Director to lead our Substance Abuse and Behavioral Health programs. As a key member of our leadership team, you will be responsible for providing clinical oversight and direction for our substance use disorder and behavioral health components.Key ResponsibilitiesDesign and...
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Manchester, NH, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people...
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Manchester, NH, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping people...
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Manchester, New Hampshire, United States AmeriHealth Caritas Full timeAbout the RoleAmeriHealth Caritas is seeking a highly skilled Medical Director to lead our Substance Abuse Disorder and Behavioral Health programs. As a key member of our leadership team, you will be responsible for providing clinical oversight and direction for our SUD and BH components.Key ResponsibilitiesDesign and implement programs in compliance with...
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Manchester, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping...
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Manchester, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping...
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Manchester, NH, United States AmeriHealth Caritas Full timeJob Description Job Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re...
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Manchester, NH, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get...
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manchester, United States AmeriHealth Caritas Full timeJob Description Job Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re...
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Manchester, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get...
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Manchester, United States AmeriHealth Caritas Full timeJob Description Job Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire. Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re...
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Manchester, United States AmeriHealth Caritas Full timeJob DescriptionJob BriefThe Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire.Candidates must be a Board Certified in Addiction Medicine in New Hampshire.Your career starts now. We’re looking for the next generation of health care leaders.At AmeriHealth Caritas, we’re passionate about helping...
-
Manchester, United States AmeriHealth Caritas Full timeJob Brief The Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire.Candidates must be a Board Certified in Addiction Medicine in New Hampshire. Your career starts now. We’re looking for the next generation of health care leaders. At AmeriHealth Caritas, we’re passionate about helping...
-
Manchester, United States AmeriHealth Caritas Full timeJob DescriptionJob BriefThe Medical Director Substance Use Disorder/Behavioral Health will be supporting AmeriHealth Caritas New Hampshire.Candidates must be a Board Certified in Addiction Medicine in New Hampshire.Your career starts now. We’re looking for the next generation of health care leaders.At AmeriHealth Caritas, we’re passionate about helping...
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