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Psychiatrist Medical Director Associate - CA Required - Full-time or Part-time - PS27967Location: California, United StatesNewRequisition #: PS27967Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 .This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.Psychiatrist – Medical Director Associate, Remote Work in CA Available. Must reside in CA.Responsible for providing day to day guidance, support, and leadership for the clinical and quality activities and supporting the Medical Director in ensuring the clinical integrity of broad and significant clinical programs and identifies and develops opportunities for innovation to increase effectiveness and quality.Primary duties may include, but are not limited to:
Provides support to clinicians in daily tasks and ensuring 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, office visits with providers and external physicians as necessary.
Assists in the practitioner appeal, criteria reviews, medical policy and technology assessments, setting and implementing QI initiatives, and practitioner/provider credentialing.
Serves as a resource and consultant to other areas of the company and may be required to represent the company to external entities and/or serve on external committees.
May participate in a physician on-call rotation for a 24x7 pre-certification unit.
Requires M.D. or D.O
Board certification approved by the American Board of Psychiatry and Neurology required; board certification in Child and Adolescent Psychiatry preferred.
Must possess an active CA unrestricted medical license to practice medicine
5 years of clinical experience or any combination of education and experience, which would provide an equivalent background
Ability to work in a technology focused environment
Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills
CA Resident
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.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
Vacancy expired!