Skip to main content

It is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other. Our recruiting system uses your email address as your unique identifier. If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address. Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you apply

Behavioral Health Medical Director Associate - 20 hours

Location: , VA
Job Family: Medical
Req #: PS48705-Virginia
Date Posted: May 4, 2021

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision.  At Beacon Care Services, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination.  It’s the foundation upon which we’re creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

Beacon Care Services is a part of Beacon Health Options, a leading behavioral healthcare company. We provide compassionate mental health care in convenient and familiar community locations where people live, work, and shop. Our licensed clinicians provide counseling and other behavioral health care services direct to consumers where and how they need it. At Beacon, our mission is to help people live their lives to the fullest potential.

May be responsible for supporting one or more Medical Directors in ensuring clinical integrity of broad and significant clinical programs. May perform clinical review. Primary duties may include, but are not limited to: May provide clinical guidance for programs. Supports clinicians to ensure timely and consistent responses to members and providers. Conducts peer-to-peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, and patients’ office visits with providers and external physicians. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. May assist in the practitioner appeal reviews, appropriateness criteria reviews, medical technology assessments, setting and implementing QI initiatives, and practitioner/provider credentialing. Under direction, may be responsible for the administration of medical services for company health plans including medical policies. Serves as a resource and consultant to other areas of the company. May interpret existing medical policy. May be required to represent the company to external entities and/or serve on internal and/or external committees.

Qualifications

  • M.D. or D.O.
  • Active unrestricted medical license to practice medicine 
  • Board Certified by the American Board of Psychiatry and Neurology in Psychiatry 
  • Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US
  • 5 years of clinical experience or any combination of education and experience, which would provide an equivalent background

Preferences: 

  • Addiction Psychiatry Certification
  • Behavioral Health Addiction Psychiatry background


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

Share: mail

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.