Medical Director

2 weeks ago


Florida, United States Sentara Full time

The Medical Director role at Sentara Health Plans is a vital position that requires a strong clinical leader to oversee the organization's clinical activities. With a focus on monitoring utilization, case management, and quality outcomes, this individual will be responsible for collaborating with senior leaders and clinical teams to establish, implement, and evaluate the effectiveness of clinical programs.

Key Responsibilities
  • Develop and implement medical policies and procedures for Behavioral Health services.
  • Provide clinical oversight and guidance to ensure the appropriate use of criteria and guidelines in treatment administration.
  • Conduct regular reviews of quality management, case management, and BH education activities.
  • Direct the utilization of inpatient and outpatient behavioral health services based on clinical knowledge and applicable medical necessity policies.

To be successful in this role, the Medical Director must possess excellent leadership and communication skills, as well as the ability to collaborate effectively with various stakeholders. A Master's degree in Medical Management, Business Administration, or Public Health is preferred, and board certification in Psychiatry is required.

The estimated salary for this position is $180,000-$220,000 per year, depending on experience and qualifications. This figure is based on industry standards and takes into account the job requirements, location, and market conditions.



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