Behavioral Health Medical Director
Humana —Louisiana
- $223,800 - $313,100 a year
- Full-time
- Remote
- Medicine
- BC/BE
- Travel
- Paid parental leave
- Paid holidays
Executive Director
ECD Global Alliance —DeRidder, LA
- $70,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Public speaking
- Retirement plan
Quick Apply
OEM Sales Director-Machinery
ABB Inc. —DeRidder, LA
- $119,000 - $190,400 a year
- Full-time
- Remote
- Microsoft Excel
- Marketing
- Salesforce
- Paid parental leave
- Health savings account
Quick Apply
Sunday Experience Director
Motion Church —Leesville, LA
- $30,000 - $45,000 a year
- Full-time
- Mid-level
- In-person
- Leadership
- Relocation assistance
Quick Apply
12d
ASSIST DIR OF NURSING RN
WOODLANDS OPCO LLC —Leesville, LA
- On call
- Nursing
- Skilled nursing facility
- RN License
- Disability insurance
- Health insurance
Collaborating Physicians and Medical Directors (for board certified US physicians)
Doctors For Providers —United States
- $2,400 - $10,000 a year
- Contract
- Remote
- Background check
- Medicine
- BC/BE
- Flexible schedule
Quick Apply
Director of Acute Inpatient Rehabilitation
Signet Health Corporation —United States
- Full-time
- Management
- Hospital
- Inpatient
- Relocation assistance
Director of Nursing -MDS Nurse in Sheridan, MT
Cambay Healthcare LLC —United States
- $2,500 - $2,600 a week
- Temporary
- RN License
- BLS Certification
- Mid-level
Quick Apply
4d
Director, Regulatory Affairs – CMC
Rocket Pharmaceuticals —United States
- $204,000 - $264,000 a year
- Full-time
- Bachelor of Science
- 8 years
- Bachelor's degree
- Paid holidays
- Health insurance
Director of Client Relationship Management (CRM)
GeBBS Healthcare Solutions, Inc. —United States
- Full-time
- Remote
- 5 years
- Analysis skills
- Bachelor's degree
Quick Apply
Medical Director- Ohio
CareMed —United States
- Part-time
- Medicine
- Skilled nursing facility
- Nursing home
- Health insurance
- Dental insurance
Quick Apply

Discover related jobs

Based on your search for director jobs.

Regional Vice President, Gulf
ABB Inc. —DeRidder, LA
ELIP specializes in manufacturing electrical construction materials for commercial construction, including products designed for service applications and…
$163,500 - $261,600 a year
Quick Apply
4h

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Director of Financial Aid
SOUTH COLLEGE —Dublin, OH
Prepare and maintain financial aid files for each student receiving financial assistance. Meet and counsel with students and parents regarding the process of…
Quick Apply
Public Service Director
Jefferson Township, Franklin County —Blacklick, OH
_*Preferred:*_ Bachelor’s degree in Civil Engineering, Construction Management, Public/Business Administration, or a closely related field; and a minimum of…
$82,198 - $123,297 a year
Quick Apply

I want to receive the latest job alert for director in deridder la

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

director jobs near deridder la

Director Of Nursing jobs in Sheridan, MT

Medical Director jobs in Louisiana

Director Of Rehabilitation jobs in Michigan

Director Of Nursing jobs in West Palm Beach, FL

Executive Director jobs in Cincinnati, OH

School Technology Director jobs in Michigan

Provo Rehabilitation & Nursing jobs in Provo, UT

Director Of Rehabilitation jobs in Lubbock, TX

Director Of Rehabilitation jobs in St. Louis, MO

Director Of Rehabilitation jobs in Paducah, KY

Director Of Regulatory Affairs jobs in San Francisco Bay Area, CA

Director Of Regulatory Affairs jobs in Hayward, CA

Director Of Regulatory Affairs jobs in Durham, NC

Regulatory Attorney jobs in Washington, DC

Director Of Regulatory Affairs jobs in Oklahoma City, OK

Athletic Director jobs in Tennessee

Director Of Sales jobs in Las Vegas, NV

Athletic Director jobs in Hawaii

Director Of Maintenance Isd jobs in Texas

Athletic Director jobs in Rochester, NY

Behavioral Health Medical Director

Humana -
Louisiana

Apply Now

Job Details

Full-time
$223,800 - $313,100 a year

Benefits

Paid parental leave
Caregiver leave
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Parental leave
Vision insurance
Volunteer time off
Life insurance

Qualifications

BC/BE
Quality management
Clinical case management
Utilization management
Post residency experience
Resource utilization in healthcare
Medical License

Full Job Description

Become a part of our caring community

The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models. Maintains efficient operations while ensuring attainment of quality of care and financial goals. Provides information for pricing guidelines based on utilization patterns and client demographics. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.

The Behavioral Health Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise.

The Behavioral Health Medical Directors will learn Medicare, Medicare Advantage and/or Medicaid requirements, and will understand how to operationalize this knowledge in their daily work.

The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management. The Behavioral Health Medical Directors support Humana values, and Humana’s Bold Goal mission, throughout all activities.

Use your skills to make an impact

Required Qualifications

MD or DO degree
5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population
Current and ongoing Board Certification an approved ABMS Medical or ABPN Specialty
A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required.
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
Excellent verbal and written communication skills .
Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation.

Preferred Qualifications

Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance.
Experience with national guidelines such as MCG® or InterQual
Psychiatry, Internal Medicine, Family Practice, Geriatrics, Hospitalist, or Emergency Medicine clinical specialists

• Advanced degree such as an MBA, MHA, MPH• Exposure to Public Health, Population Health, analytics, and use of business metrics.

Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health.
The curiosity to learn, the flexibility to adapt and the courage to innovate

Additional Information

Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business.

#physiciancareers

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$223,800 - $313,100 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Apply Now

Refine Your Search

director jobs in deridder la

Behavioral Health Medical Director

Executive Director

OEM Sales Director-Machinery

Sunday Experience Director

ASSIST DIR OF NURSING RN

Collaborating Physicians and Medical Directors (for board certified US physicians)

Director of Acute Inpatient Rehabilitation

Director of Nursing -MDS Nurse in Sheridan, MT

Director, Regulatory Affairs – CMC

Director of Client Relationship Management (CRM)

Medical Director- Ohio

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for director in deridder la

Explore jobs in more locations

Become a part of our caring community

Use your skills to make an impact

About us

Job Seeker Tools

Employer Tools

Browse

Stay Connected