Behavioral Health Medical Director- Child Psychiatrist

Location:

This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Alternate locations may be considered.

Schedule:

Fulltime position, Monday through Friday.

is responsible for completing medical necessity reviews for general child psychiatry cases as well as Applied Behavioral Analysis cases supporting commercial and Medicaid business lines.

• Conduct peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations and patients' office visits with providers and external physicians.
• Apply clinical knowledge and skills to utilization review processes.
• Adhere to medical policies and clinical guidelines.
• Engage in clinical and non-clinical activities that impact health care quality, cost and outcomes as assigned.
• Provide guidance for clinical operational aspects of a program if requested.
• Serve on internal and/or external committees if required.
• Develop and propose new medical policies based on changes in healthcare.
• Identify and develop opportunities for innovation to increase effectiveness and quality.

• MD or DO with Board certification approved by one of the following certifying boards:
  American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
• Active unrestricted medical license to practice medicine or a health profession.
• 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.
• Minimum of 10 years of clinical experience; or any combination of education and experience providing an equivalent background.
• For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

• Willing to obtain a California medical license.
• Board Certified in Child & Adolescent psychiatry strongly preferred.

For candidates working in person or virtually in the following locations, the salary
* range for this specific position is $250,236 to $428,976.

Locations:
California, Nevada, Colorado, Washington

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).

The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.

No amount is considered to be wages or compensation until such amount is earned, vested and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or…