Medical Director for Adult Services

2 months ago


Philadelphia, Pennsylvania, United States Community Behavioral Health. Full time
Job Summary

We are seeking a highly skilled and experienced Medical Director for Adult Services to join our team at Community Behavioral Health. The successful candidate will provide administrative oversight and supervision of our physician advisors, ensuring the delivery of high-quality care to our adult members.

Key Responsibilities
  • Leadership and Supervision: Provide guidance and leadership to our physician advisors, ensuring they have the necessary tools and support to conduct thorough and accurate reviews of medical necessity and care management.
  • Performance Management: Establish and monitor performance expectations for our physician advisors, ensuring they meet the highest standards of quality and productivity.
  • Quality Assurance: Ensure that our physician review processes and content are aligned with best practice standards (NCQA) and state regulatory requirements.
  • Clinical Leadership: Provide medical leadership related to overall quality of care, medical decision making, case formulations, appropriate use of medication and other treatment modalities while addressing safety concerns specific to case review and levels of care.
  • Collaboration and Communication: Engage, collaborate and troubleshoot with providers and system stakeholders on clinical and administrative matters, including member placement, coordination of care, quality concerns and other challenges.
  • Training and Education: Participate in training and education with both internal and external stakeholders, including care managers, providers and others as required.
Requirements
  • Education: Medical degree
  • License/Certification: State license in the Commonwealth of Pennsylvania; Board Certification in Adult Psychiatry
  • Relevant Work Experience: Minimum of 3 years of experience in clinical psychiatry, preferably including inpatient exposure
Skills and Competencies
  • Problem Solving and Analytical Skills: Strong ability to analyze complex clinical information and make informed decisions.
  • Interpersonal and Communication Skills: Excellent interpersonal and communication skills, with the ability to work effectively with diverse stakeholders.
  • Leadership and Management Skills: Proven leadership and management skills, with the ability to motivate and guide a team of physician advisors.
  • Administrative and Technical Skills: Proficient in Microsoft Word and Excel, with the ability to utilize computers and office equipment to complete daily work responsibilities.


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