Medical Director Behavioral Health, Medicaid - Remote

Job overview

The Medical Director Behavioral Health, Medicaid role is a remote position based in Indiana, supporting the behavioral health strategy and operations department. Compensation is $223,800 - $313,100 per year, focusing on complex clinical reviews and regulatory compliance within a leading U.S. healthcare company. This role exists to make determinations regarding requested services, levels of care, and sites of service. The Medical Director contributes to the company's goals by utilizing clinical expertise to review complex scenarios, participating in peer-to-peer discussions, and supporting regional market priorities through collaborative business relationships.

What you'll do

• Make determinations on service authorizations, review complex clinical scenarios, prioritize daily work, communicate decisions to internal associates, participate in peer-to-peer discussions, and support regional market priorities.

What we're looking for

Skills & competencies

full-time

day shift

remote

indiana

medical director

psychiatry

medicaid

utilization management

humana

$223k-$313k

Work arrangement

• Weekend coverage required

Benefits & perks

• Medical, dental, and vision benefits, 401(k) retirement savings plan, paid time off, short-term and long-term disability, life insurance.

Why this role

Bonus incentive plan, remote work flexibility, leadership role in behavioral health strategy.

About the employer

Humana is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.